Mrs. Christie Syllabus Consent and Parent contact form
By filling out this form, the parent and student agree to abide by the rules and expectations described in Mrs. Christie's syllabus.

This form will obtain the contact information of the parent/guardian and the student. It is important for a teacher to be able to contact those that are responsible for the students in order to keep them fully involved and updated. Thank you for your cooperation.
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Email *
Student Last Name *
Student First Name *
Student phone number *
Student colegia email *
Student ID *
Student School *
Period *
Parent/Guardian Name *
Parent Phone Number *
Parent Email *
Alternate Contact Person
Alternate phone number
Alternate Email
Comments, concerns, or questions.
If your student has a 504, ESE, or ESOL accommodation you may let me know here. If there is an allergy I should be made aware of, tell me.
A copy of your responses will be emailed to the address you provided.
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