Parent Contact Information
The purpose of this form is to open a line of communication.  Receipt of this form will make it possible for me to contact you both by phone and/or email if necessary.  Parents may wish to fill out this form more than once if there is more than one parent/guardian in which you would like me to contact throughout the school year.  I look forward to a wonderful year!
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Student Information
Student's Last Name *
Student's First Name *
Student's Period *
Parent Information
Parent or Guardian's Name *
Relationship To Student *
Parent or Guardian's Home Phone Number *
Parent or Guardian's Cell Phone Number *
Parent or Guardian's  Work Phone Number
Parent or Guardian's  Email Address *
Is there anything you wish to share with me?  (food allergies, etc.)
Acknowledgments
Mrs. Harden-Moros' Website *
Required
Mrs. Harden-Moros' Contact Information *
Required
Course Description/Expectations *
Required
Math Tutoring *
Required
Student Grades *
Required
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