I/we the parent/guardian of have read the information on the

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I we the parent guardian of have read the information on the, PARENT/GUARDIAN SIGNATURE, school district, Network Access, student signature, Electronic Network, the School, Parent/Guardian Name, high school, guardian signature

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posted:: 10/31/2008
language:: English
pages:: 2

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							                                                                            Sr. Dobyns
                                                                 Español-CeHS sala 411
                                                               bdobyns@cnusd.k12.ca.us
                                                              www.senordobyns.web.com


       I/we, the parent/guardian of ______________________________ have read the

information with regards to Mr. Dobyns’ classes at Centennial High School. We agree to

the policies and expectations and know that we may contact Mr. Dobyns by either calling

the school directly or by e-mail. We agree to help our student this year to achieve the

highest grade possible.


Student Name ____________________________

Student Signature ______________________________ Date _______________

Parent/Guardian Name/s        ______________________________

                              ______________________________


Contact Phone Numbers         (home)________________________

                              (work)_________________________

Contact E-mail                _______________________________

                              _______________________________

                              _______________________________


Parent Signatures     ____________________________________Date_____________

Parent Signatures     ____________________________________Date_____________
                                                                             Sr. Dobyns
                                                                  Español-CeHS sala 411
                                                                bdobyns@cnusd.k12.ca.us
                                                               www.senordobyns.web.com

       Yo/nosotros, padre/guardia de ______________________________ hemos leído

la información con respecto a las clases del Sr. Dobyns en Centennial High School.

Estamos de acuerdo con las pólizas y expectaciones y sabemos que podemos ponernos en

contacto con el Sr. Dobyns por llamar la escuela o por e-mail. Aceptamos la

responsibilidad de ayudar a nuestro/a estudiante este año lograr la calificación más alta

posible.


Estudiante ____________________________

Firma del estudiante ______________________________ Fecha _______________

Nombres de padres/guardias ______________________________

                              ______________________________


Números telefónicos           (casa)          ________________________

                              (trabajo/cell) ________________________

Correo Electrónico            _______________________________

                              _______________________________

                              _______________________________


Firma de padres o      ____________________________________Fecha_____________

Guardias               ____________________________________Fecha_____________

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