Policies/Procedures/Lab Safety/Allergies/Video Acknowledgement 
Please indicate if you have read/ agree to the following items from the beginning of year paperwork. I know that this is long, I'm sorry! I'm just trying to avoid inundating you with paper :) 
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Student Name (first & last) *
Class period *
Please see the beginning of year paperwork for the class that your student is enrolled in before proceeding.
Policies & Procedures:
I have READ the policies and procedures for my science class and AGREE to follow them as discussed in class and on this handout. I understand that failure to do so will result in disciplinary actions as discussed in these policies.
*
Agree
Disagree
Parent/Guardian
Student
Safety Contract:
I have read and understand my teacher's safety rules, and I agree to abide by the safety regulations and any additional instructions, written or verbal, provided by the district and/or teacher.
*
Agree
Disagree
Parent/Guardian
Student
Does your student have any known allergies? *
If you answered "yes", please list those allergies below
Video Permission:
I have read and understand the videos that will be shown in this class. I have indicated my opinion about my students ability to watch these videos below.
*
Parent/Guardian Name (Last, First) *
Parent/Guardian Contact # *
Please add the BEST number with which to contact you. If you'd like to put more than one, please tell me who's is who's so I know who to expect when I contact that number please :)
Would you prefer I text you? *
Parent/Guardian email address *
Please input a working email that you check regularly, I will use this to send out updates when major assignments come due OR when we've done something really cool in class that I want you to see!
What information do you feel is important that I know about your student? *
This can include things like learning difficulties, stress at home, past bad experiences with school that might affect them in this class, if they are REALLY REALLY good at something, if they're super interested in this something, etc. I'd love to know what you think I need to know in order to be the best teacher for your student.
If you feel like there's nothing to note, feel free to put "none" or "NA" as well.
Has your student completed the student intro form? If not, please encourage them to do it now- it helps me to get a feel of what they need from me as a teacher. *
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