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Chem H Information Form
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* Indicates required question
Class Period
*
Choose
3
5
8
First Name
*
Your answer
Last Name
*
Your answer
Preferred Name
*
How do you want to be addressed?
Your answer
What are your personal pronouns?
*
she/her
he/him
they/them
Other:
May I use your preferred name and pronouns in communications home?
*
Yes
No
May I use your preferred name and pronouns in class?
*
Yes
No
Non WHS e-mail address (in case needed)
*
Your answer
Birthday Celebration?
*
Do you want us to celebrate your birthday (class acknowledgment and tootsie pops!)? Summer birthdays will be celebrated at your half-birthday..
Yes
No
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