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Mrs. Lee's Parent Contact Form
Please fill this form out as fully as possible. If you cannot answer a question or one doesn't apply to you, please answer with "N/A" or "none"
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* Indicates required question
What is the student's LAST name?
*
Your answer
What is the student's FIRST name?
*
Your answer
Student's Birthday
MM
/
DD
/
YYYY
Which of my classes is the student enrolled in?
*
Algebra 1
Pre-AP Algebra 2
Pre-Calculus
Contact Info
Please give the following information so that I might contact you regarding your child. If any of the following things do not apply, please type "N/A" or "NONE".
Mom's/Guardian's full name
*
Your answer
Mom's/Guardian's best contact #
*
Your answer
Mom's/Guardian's email address
*
If no email address, type "none"
Your answer
Dad's/Guardian's full name
*
Your answer
Dad's/Guardian's best contact #
*
Your answer
Dad's/Guardian's email address
*
If no email address, type "none"
Your answer
Email is the easiest way for me to communicate with you. Please choose from the following options regarding email.
*
I check my email often.
I don't check my email very often.
I don't have email.
Who should I contact first regarding this student?
*
If other, please list contact info in the questions/comments space below.
Mom
Dad
Other:
Please put any questions/comments in the space below.
If you chose "OTHER" in the question above, please list contact information here.
Your answer
Signatures
By "signing" below, you are acknowledging that you have read, understand, and agree to all the information in your parent letter and the classroom guidelines and procedures page that your child should keep in his/her math binder.
Student Signature
*
Your answer
Parent Signature
*
Your answer
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