Signature Form     Science     Mr. Bolken

 

Students:  I have read and gone over Mr. Bolken’s course expectations online.  I understand it and will honor it while in room 903.

 

Name (print):  ________________________________  Grade:  _______

 

Signature:  ___________________________________  Date:  _______________

 

Parents/Guardians:  My child and I have gone over the classroom expectations online and understand the rules, regulations, and procedures that are to be followed.  I also understand the grading policy and classroom routines.  I understand these items and support them.

 

Name (print):  ______________________  Name (print):  _______________________

 

Signature:  _________________________  Date:  ________________

 

Signature:  _________________________  Date:  ________________

 

Please fill out the following information below.  Thank you.

 

Home phone:  ______________________      __________________________

 

Cell Phone (optional):  _________________________

 

Work phone:  ______________________       __________________________

 

Videos

   

 Throughout the year, students may learn through the use of a video related to the topic they are currently studying.  If you do not wish for your child to watch selected videos (National Geographic, NOVA, Discovery, etc…..) which are Not Rated, they will be provided with assignments during these occasions and sent elsewhere.

 

Please check one.

 

(  )  My son/daughter may watch selected videos.

 

(  )  My son/daughter may not watch selected videos.

 

Parent/Guardian Signature:  ___________________________  Date:  _____________