Student's Parent/Guardian Contact Information-

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Student's Parent/Guardian Contact Information-

If your child is NOT enrolled in the Special Education Fundamental Skills Class, this form is not for their teacher

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* Indicates required question

Email *

Your email

Student's Name (First and Last Name) *

Your answer

Teacher Name *

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Mrs. Washington

Mr. Jordan

Student's Parent Name (First and Last Name) *

Your answer

Best Contact Number to Reach You (Parent) *

Your answer

Email Address *

Your answer

Student's Parent Name (First and Last Name) 2nd Parent

Your answer

Best Contact Number to Reach You (2nd Parent)

Your answer

Email Address (2nd Parent)

Your answer

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