Student Info. Form for Mrs. Bass - Spring 2022
PARENTS & GUARDIANS: Please complete the questions below and provide the email address & phone number(s) you’d prefer that I use to contact you, if the need arises. Also, please read over the course Syllabus (distributed the first day of class) and email me if you have any questions.

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Email *
Your Student's LAST Name *
Your Student's FIRST Name *
Please choose the Class Period that your student is enrolled in English II. *
Name of Parent/Guardian #1 *
Email address of Parent/Guardian #1 *
Phone number of Parent/Guardian #1 *
Name of Parent/Guardian #2
Email address of Parent/Guardian #2
Phone number of Parent/Guardian #2
Any additional contact name, number or email you'd like me to have?
Is there any additional information you would like me to know in order to better meet your student's learning needs?
A copy of your responses will be emailed to the address you provided.
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