Ms. Kinkaid's Class - Contact Information

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Please complete the following form. Make sure email addresses are correct.

This form is being filled out by a ... *

Student Name *

Last Name, First Name

Class Period *

Student Email Address - WCPSS email addresses only *

Do you have a cell phone? *

Yes I have an iPhone.

Yes I have an Android phone.

Do you have a graphing calculator? *

Yes I have a handheld graphing calculator

Yes I have a graphing calculator on my phone.

Which computer will you be using? *

Chromebook

Desktop/Laptop PC

Desktop/Laptop Mac

Parent/Guardian Name #1 *

Relationship to Student *

Daytime Phone Number *

Email Address

Parent/Guardian Name #2

Relationship to Student

Daytime Phone Number

Email Address

Please share any learning or health concerns that Ms. Kinkaid should be aware of. This should include IEP/504 accommodations, allergies, health concerns, vision/hearing difficulties, etc.

Please check the boxes stating that you understand the class policies. *

I understand that late homework is not accepted.

I understand that students and parents are responsible for monitoring Powerschools for grade updates.

I understand that cell phones are only permitted for educational purposes, and will be taken if used for any other reason.

I understand that students are responsible for making up their work from an absence in a timely manner in accordance with the BHS Grading Policy.

I understand the Broughton High School and WCPSS policies on cheating and integrity, and the consequences that will follow if violated.

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