Please review the parent letter and the course outline. Then, print
out this page using your browser's Print command and complete the following, including student and parent signatures,
and return this page to me as soon as possible. This will indicate to me
that you have seen my expectations for the class, have received the Homework Helper, and will provide me with the
information to contact you if necessary. Thank you.
DATE:
____________________
STUDENT SIGNATURE: ______________________________
PARENT/GUARDIAN NAME(S): _________________________________________________________________________________
PARENT/GUARDIAN CONTACT INFORMATION:
PHONE: (H) ____________________ (W)
____________________
E-MAIL: ________________________________________________
PARENT SIGNATURE(S):_______________________________________________________________________________________