Course Outline Verification
Please answer the following questions regarding your student and his/her class needs.
Email address *
Last Name of Health Student *
Your answer
First Name of Health Student *
Your answer
Health Class *
Parent/ Guardian(s) Name(s) *
Your answer
Parent/Guardian preferred email *
Your answer
Please let me know of a second parent email, if both wish to get email notifications
Your answer
Please add any detail in regards to needs (inhaler, injury etc.) that you would like me to know about your health student.
Your answer
Check the box below to acknowledge that you understand the policy regarding sick day notes from parent/guardian. *
Required
Check the box below to acknowledge you have read the course outline *
Required
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