Teacher/Parent Communication Form (Word file)

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Teacher/Parent Communication Form
Dear parent,
In an effort to better service your child I would like to open the lines of communication. I
would like to be able to contact you in case any problems arise or to notify you of any special
opportunities available to you child. If you have any question about your child’s education, feel
free to contact me any time.
Teacher: Michael J. Bettencourt
Work #: 508-998-3321 Ext. 162
Email: [email protected]
Keep this top section with my contact information
----------------------------------------------------------------------------------Student:
Guardian 1
Name: ___________________________
Relation: _______________
Home Phone: _______________
Cell Phone: _________________
Email: ______________________________
Guardian 2
Name: ___________________________
Relation: _______________
Home Phone: _______________
Cell Phone: _________________
Email: ______________________________
Place of Employment: ___________________ Place of Employment: ___________________
Work #: _________________
Work #: _________________
O Feel free to call me at work
O Feel free to call me at work
O Only call me at work if absolutely
O Only call me at work if absolutely
necessary
necessary
Best time to reach me: __________________
Best time to reach me: __________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
Signature: ______________________
Signature: ______________________
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