Mira Mesa High School Citizenship Rubric For 2014-2015 Page 4
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4Course Title: Math II
Mira Mesa High School 2015-2016
Teacher: Mr. Contreras
My signature below indicates I have read and understand the policies and rules of this class and will do my best to fulfill
the requirements and expectations.
Student Name (PRINT): _______________________________________________
Period: ______
Student Signature: ___________________________________________________
Date: _________________
Parent/Guardian Name (PRINT): ____________________________________________________________________
Parent/Guardian Signature: ____________________________________________
Date: _________________
I prefer to be contacted by:
Phone:
_________________________________________________________________
Preferred Contact Number(s)
E-Mail:
_________________________________________________________________
Preferred Email Address
Page 4 of 4
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