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American History I Student Information Sheet
Contact information for my students in my American History I Class.
Put N/A in any space that is applicable.
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* Indicates required question
Please enter your First and Last Name
*
Enter the Name that you prefer to be called.
Your answer
Class Period that you have American History I
*
Choose
1st Period
2nd Period
3rd Period
4th Period
Student's Cell Phone Number
*
Your answer
If you have a cell phone, can you send and receive text messages?
*
Choose
Yes, I have unlimited texting
Yes, but only when it is extremely important
No, I do not text.
I do not carry a cell phone.
Father's Name
*
Your answer
Father's Cell Phone Number
*
Your answer
Mother's Name
*
Your answer
Mother's Cell Phone Number
*
Your answer
Do your parents send and receive text messages?
*
Your answer
Please list and describe any medical conditions that I need to be made aware of.
*
If there are none, put NONE
Your answer
If this was not a required class for graduation, would you have signed up for it?
*
Yes
No
Maybe
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