Parent/Guardian Contact Information
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Student First and Last Name *
Homeroom Teacher: *
Mother's Name: *
Mother's Cell Phone:
Father's Name:
Father's Cell Phone:
Guardian's Name: (if applicable)
Guardian's Cell Phone: (if applicable)
Home Phone: (if applicable)
Mother's Email Address:
Father's Email Address:
Guardian Email Address (if applicable):
Preferred Method of Communication: *
Required
Preferred Time of Communication:
Any you would like to share with the team of teacher about your child:
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