Wellness Syllabus Sign Off
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Student's First Name *
Student's Last Name *
Who's your teacher? *
What grade are you in? *
#1 Parent/Guardian *
First and Last Name
#1 Parent/Guardian Phone Number *
#1 Parent/Guardian Email Address *
I have read and understand the wellness syllabus *
Clicking yes indicates you've read the syllabus with your parent(s)/guardian(s)
If you have any health concerns you feel your health teacher should know about, please list below.
What semester? *
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