Parent/Family Information
Please complete the survey below.

**If you have more than one student in my classes, you only need to complete one form, just be sure to include all of their names in the student name section.
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Student's Name (First Last) *
Parent/Guardian Name(s) (First Last) *
Phone Number (Family) *
Email Address (Family/one that is checked regularly) *
What is the most important thing I should know about your child in order to better his/her learning experience? *
I have read and discussed the syllabus with my student and understand what is required of him/her in class. (The syllabus can be found on each class's section of my website) *
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