Signature Page/Contact Form
Student's last name *
Your answer
Student's first name *
Your answer
ELA Class period *
Parent or guardian's full name *
Your answer
Parent or guardian's contact email *
Your answer
Parent or guardian's phone number *
Your answer
Parent's or guardian's signature: I agree to the discipline plan and my child will follow it. *
Your answer
Student's signature: I agree to the discipline plan and I will follow it. *
Your answer
Have I taught any other family members? *
If you answered yes to the above, who?
Your answer
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