Spring 2021 Parent Contact Form

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Spring 2021 Parent Contact Form

Please complete the following contact information. If you wish to receive weekly emails from me regarding upcoming assignments and due dates, please answer "Yes" to the last question.

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* Indicates required question

Email *

Your email

Child's Name *

Your answer

What block does your student have me? *

Block A

Block B

Block C

Block D

Parent/Guardian Name(s): *

Your answer

Parent/Guardian Email(s): *

Your answer

Best Phone Number for Contact:

Your answer

Please share any other information you want me to know about your child.

Your answer

I send email updates regarding upcoming assignments, due dates, and test dates. Do you wish to receive these emails? *

Yes

No

Submit

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