Please provide first and last name.  (If a nickname is preferred include it parentheses).

Please indicate if the phone is landline or cell, and the best time to call.

Please select the appropriate option.

I will be using Bloomz to instantly share messages, updates, photos, videos of the learning and events taking place in our class.  Bloomz is FREE and allows for safe direct messaging.  All personal information will be kept private and not sold or distributed.

Please check all that apply.