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signature/acknowledgement page

Please sign and have your student return this page to acknowledge that you have received and reviewed the parent letter.

 

 

 

 

Student Name_____________________________ Signature_______________________

(Please Print)

 

Student Email Address ______________________________

                                      (Please Print)

 

 

Parent/Guardian Name________________________ Signature____________________

(Please Print)

 

I prefer to use email for parent communication- please provide an email address that may be used for teacher/parent contact and routine email announcements:

 

Parent Email Address:___________________________________

 

 _______________________________ for __________________

          (Please Print)                                                  Parent Name

                                                                              

 

 

_______________________________ for __________________

                                                                            Parent Name

(Please Print)

 

 

Parent home phone: __________________________

 

          Work phone:  ___________________ for _________________________

                                                                                      Parent Name

 

          Work phone:  ____________________ for _________________________

                                                                                      Parent Name

 

If there is any information that you would like me to know about your student, please feel free to comment below or on the back of this signature page.  Thank you!

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