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Lewis' Parent/Student Contact form
Please complete by Wednesday, August 25th.
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* Indicates required question
Student Last Name
*
Your answer
Student First Name
*
Your answer
Course
*
Physical Science
Honors Genetics
Honors Chemistry
Homeroom
Period
*
1st
2nd
4th
5th
6th
Parent/Guardian Name
*
Your answer
Parent/Guardian Relationship to Student (mom, dad, grandparent, etc.)
*
Your answer
Parent/Guardian Email (Please provide an email that you check regularly; if none, put "N/A")
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Preferred method of contact
*
Email
Phone call
Text
Remind
Second Parent/Guardian Name
Your answer
Second Parent/Guardian Relationship to Student (mom, dad, grandparent, etc.)
Your answer
Second Parent/Guardian Email (please list an email that you regularly check)
Your answer
Second Parent/Guardian Email (please list an email that you regularly check)
Your answer
Second Parent/Guardian Phone Number
Your answer
Second Parent/Guardian Preferred method of contact
Your answer
Student email (please enter an email that you regularly check)
*
Your answer
General wish list items if you choose to donate to my classroom: glue sticks, hand soap, hand sanitizer, tissues, and disinfecting wipes)
*
Got it :)
If there's any other information you would like to provide, please type it below or contact me via email at
lewisj3@gcsnc.com
.
Your answer
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