You Have Found the Secret Superman Page. If You Bring This Page (Printed Out) Back To

You have found the secret superman page. If you bring this page (printed out) back to class tomorrow, I will give you 10 BONUS POINTS on your first test. All you have to do is have your parent and / or guardian PRINT the required information below and then sign it. That’s all, nothing else. Just don’t forget to bring it back to me by Monday, August 28, 2017. -Mr. S

PLEASE PRINT

Students Name: ______(Last) ______(First)

Parent and / or Guardian’s Name(s): ______(Last) ______(First) ______(Last) ______(First)

What is the Best way to reach you to discuss your student? (Mark all that apply) ____ Home Phone: (_____) ______- ______Work Phone: (_____) ______- ______Cell Phone: (_____) ______- ______Guardian’s e-mail address:______

Please list the best time of the day (or other note) to reach you, if you want to be contacted by phone. ______

Please sign to verify that this form was completed by this student’s adult.

______

For Mr. Sortina’s use only: Book # Issued: ______; Date Issued: ______