2016-2017 Disclosure Signature Form English 12

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Mr. Wood's English 12 class

What is your LAST name? *

What is your FIRST name? *

What is the name of the parent or guardian you read the disclosure with?

Please list below the preferred email for your parent or guardian.

I occasionally send an email newsletter about important class assignments, due dates, and events, so an updated email in Skyward is beneficial to both student and parents. However, even though your email is strictly used for official Westlake business, you can unsubscribe to this newsletter at any time.

By checking the box below, you affirm that you and a parent or guardian have thoroughly read and understood the disclosure document (available at http://goo.gl/Yuf6cE ). *

NOTE: Checking the box is a form of an electronic signature.

Yes, we have read and will abide by the conditions listed in the disclosure.

No, we cannot abide by the conditions stated in the disclosure, which we hope to resolve with you soon.

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