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PARENT CONTACT FORM 19-20
Just so Coach Pena can contact you if needed. Thanks!
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Email
*
Your email
Student Name
*
Your answer
CLASS PERIOD
*
What class period is your student is in?
1st MATH
2nd Pre-AP MATH
3rd MATH
4th GT MATH
5th GTMATH
7th MATH
PRIMARY PARENT/GUARDIAN NAME & (RELATIONSHIP TO STUDENT)
*
Ex: John Doe (Dad or Grandpa)
Your answer
PRIMARY PARENT/GUARDIAN EMAIL
*
Ex:
john.doe@yahoo.com
Your answer
PRIMARY PARENT/GUARDIAN PHONE NUMBER
*
Ex: 210-123-4567
Your answer
SECONDARY PARENT/GUARDIAN NAME & (RELATIONSHIP TO STUDENT)
*
Ex: Jane Doe (Mom or Grandma) or NONE
Your answer
SECONDARY PARENT/GUARDIAN EMAIL
*
Ex:
jane.doe@yahoo.com
or NONE
Your answer
SECONDARY PARENT/GUARDIAN PHONE NUMBER
*
Ex: 210-123-4567 or NONE
Your answer
Please write any information you would like for me to know to help your student succeed.
*
Any tips or information about your student
Your answer
Send me a copy of my responses.
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