Student Contact Authorization

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Student First Name *

Student Last Name *

Grade *

Please reach out to my child directly at... *

Enter the best contact number for your child during the school day.

Is this a cell phone or landline phone number? *

Cell Phone

Landline/Home Phone

Other:

Please list any additional details about your work schedule or your home situation to help us better support your child during virtual learning.

NO JUDGEMENT! Please share any details that will help us to support you and your child. Example: I leave home before my child has to be up for school. OR My child is with his grandmother while I am at work. OR I can't talk to my child while I am at work due to the nature of my job.

Authorization

By signing your name below, you authorize staff at the Howard University Middle School of Mathematics and Science to reach out directly to your child via phone and text to support their virtual learning.

Parent Full Name *

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