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Mr. Capps Cleveland HS Parent Info Form
Please fill-in the information below. Identify your student's name and then provide contact information for a primary and secondary contact. If you have any questions/concerns, then please contact Mr. Capps:
josephcapps@johnston.k12.nc.us
Thank you!
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* Indicates required question
Student's Name
*
Last Name, First Name
Your answer
Primary Contact (Parent/Guardian)
*
Last Name, First Name
Your answer
Home Phone Number
(xxx) xxx-xxxx
Your answer
Cell / Work Number
(xxx) xxx-xxxx
Your answer
Email Address
Your answer
The best time to reach me is...
Choose
Morning
Afternoon
Evening
The best way to reach me is...
Choose
Email
Home Phone
Cell / Work Phone
Secondary Contact
Last Name, First Name
Your answer
Home Phone Number
(xxx) xxx-xxxx
Your answer
Cell / Work Number
(xxx) xxx-xxxx
Your answer
Email Address
Your answer
Student Health Concerns / Allergies
Please list concerns and/or allergies below.
Your answer
Please include any information about your child that will help me to be the best teacher possible for your learner.
Your answer
Please check below that you have seen the course syllabus or that you know where to find it.
Students will received the syllabus on day two of class. It is also posted on the class website.
Yes
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