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Bernal's Parent Contact Information
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Email
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Your email
Class & Period (Check All that Apply)
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Period 2: Principles of Health Science/ Medical Terminology
Period 3: Medical Terminology/ Principles of Health Science
Period 4: Health Science Theory
Period 5: Anatomy & Physiology/ Pathophysiology
Period 6 (ONLY): Practicum
Period 7 (ONLY): Practicum
Period 6 & 7: Practicum
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Student Last Name
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Your answer
Student First Name
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Your answer
Is there anything that I need to know about your student?
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Your answer
Parent 1 Name
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Your answer
Parent 1 Phone #
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Your answer
Parent 1 Email
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Your answer
Parent 2 Name
Your answer
Parent 2 Phone #
Your answer
Parent 2 Email
Your answer
I have subscribed to the class period pages on Mrs. Bernal's specific class webpage.
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Yes
I have signed and returned the Lab Safety Contract (if applicable).
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Yes
Doesn't apply to my class.
I have read and understand the expectations, rules, guidelines outlined in the course syllabus.
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Yes
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