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Agreement Form

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Please detach this page from the classroom rules and expectations and lab safety agreement once it is signed.  Return this agreement to Ms. DeLong and keep the rest of the packet in your binder. 

 

Students:

I have read and understand the classroom rules and expectations as they are described; I accept all responsibilities for this class.  I have also read the lab safety rules listed above.  Accordingly, I agree to follow all the safety rules, as well as any other oral or written safety instructions provided by the teacher in the future.

 

________________________________________            ____________________________________

Student Name (print)                                                            Student Signature

 

_________________                                    _______________

Date                                                                        Section

 

 

 

Parents:

Thank you for reviewing the classroom rules and expectations, as well as the lab safety agreement, with your student.  I have a fun, stimulating and enriching year of science planned and am looking forward to working with you and your child.  Please feel free to contact me at any time throughout the school year if you have any questions or concerns.  I can be reached via phone at 310-615-2690 x6203 or via email at mdelong@esusd.k12.ca.us. 

 

To assist me in maintaining consistent communication, please 1) sign below so that I know you have received this information and that you will help your student to follow all guidelines and 2) fill out the additional information below. 

 

________________________________________            ____________________________________

Parent/Guardian Name (print)                                                Parent/Guardian Signature

 

 

Your preferred method(s) of communication (please rank order and leave blank any you prefer to omit)

c  Home Phone                   ______________________________

c  Work Phone                    ______________________________

c  Cell Phone                   ______________________________

c  Email                                     ______________________________

Do you have any questions, comments or concerns at this time?

 

 

 

Is there any additional information you would like me to have regarding your child or his/her background?

 

 

 

□  Check this box if you would like me to contact you in response to the information you provided above.

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