Ms. Poirier's Contact List

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Thank you so much for taking the time to send me your information.

The contact info you provide here will used to:
...notify you of blog/classroom updates and classroom specific information on events and due dates.
...contact you if I have any concerns or information about your child's progress within our class.
...add information to the classroom directory, upon approval.

In an effort to eliminate the sheer magnitude of papers that go home in the first weeks, I am also seeking blog permissions. Rest assured that I will not be sharing your information with anyone else (unless you specifically permit, below.)

Information on the need for classroom volunteers for math, language arts, and class parties will be shared at curriculum night and posted on the blog around that time.

Finally, should you choose, each parent/guardian may complete the survey with their own specific contact information.

Student Name: *

As I label desks and lockers, please let me know if your child goes by a name other than above:

Student's Primary Address

Parent or Guardian Name: *

Mom

Dad

Other:

Required

Email *

Phone *

This is my:

cell phone

home phone

business

Other:

Clear selection

Classroom Directory *

Please check below what you allow to be shared on a classroom directory. The directory will be shared with members of our class, only.

Phone Number

Student's Address

Please exclude my son/daughter from the classroom directory.

Required

Web Posting via Class Blog *

(Please check all that apply) I give my permission for Ms. Poirier to:

Use my student's first name on our classroom blog

Use my student's class work on our classroom blog

Use my student's picture on our classroom blog

Use my student's voice (audio) on our classroom blog

Use a video showing my student on our classroom blog

I DO NOT give permission for my student's work, image, or voice to be used on the classroom blog.

Required

Student Participation/Blogging *

With teacher supervision, students will be asked, in school, to comment via the blog on classmates work and to engage in meaningful discussion about class material. The blog is a public forum, but rest assured that I approve every post and comment before they go "live" on the site.

I give my permission for my student to participate in the classroom blog.

I DO NOT give my permission for my student to participate in the classroom blog.

Required

Is there anything you'd like me to know about your child?

I spend a vast amount of time getting to know each student in the first few weeks of school, but if there is anything you'd like me to know before we start or information you think may be helpful, please let me know!

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