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J. R.

Tucker High School


Ms. Keilondi Johnson - Food & Wellness
All parties agree that academic success is the product of a cooperative effort. To insure that
____________________________ will benefit from this union each part! has the following responsibilities"
#$tudent %ame&
As a student ''''''''''''''''''''''''''''''' will"
#$tudent %ame&
1. Be respectful to my classmates and
teacher at ALL T!"S.
#. $ut my B"ST effort into my school
%ork.
&. '(ey ALL rules ) regulations.
*. +ome $R"$AR", to school %ith
home%ork and materials.
-. +omplete class%ork.pro/ects on time.
0. $articipate in class acti1ities.
2. 3o to the restroom (efore coming to class.
4. $ractice.demonstrate safety procedures.
5. +heck (asket for return papers.
16. +heck for any missed assignments %here the
a(sent %ork is located.
11. Ask for help on assignments %hen needed.
As a parent '''''''''''''''''''''' will"
#(arent)*uardian %ame&
1. !onitor my child7s class%ork )
home%ork and communicate any
concerns %ith the teacher.
#. 8eep contact %ith the teacher.
&. +heck grades regularly.
*. !ake sure my child is prepared %ith the
necessary materials ) ready to learn.
-. Read9 sign9 and return forms.
0. Assist my child %ith 1olunteer %ork.acti1ities.
As a teacher !s. Johnson will"
1. $ro1ide a safe comforta(le
en1ironment and sho% respect for my
students.
#. $ro1ide ample time for my students to
recei1e e:tra help (efore.after school
(y appointment.
&. "nforce school rules consistently.
*. $ro1ide students %ith clear and
concise e:pectations9 goals9 grading
system.
-. +ommunicate my e:pectations9 instructional
goals9 and grading system %ith parents
through conferences9 forms9 e;mails or (y
telephone.
0. <ork to make learning an en/oya(le
e:perience.
2. $ro1ide students %ho ha1e (een a(sent %ith
missed assignments.
4. $ost 3rades
Signatures=
''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''''
Student Signature
'''''''''''''''''''''
$arent.3uardian Signature
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Teacher Signature
____________________
,ate=
__________________
__
,ate=
____________________
,ate=
>ideo and.or $resentation $ermission ?orm
$tudent+s %ame '''''''''''''''''''''''''''''''''' ,ate ''''''''''''''''
From time to time students ma! be photographed or videoed during class presentations and
demonstrations. These videos and photographs ma! be published in newspapers newsletters
and blogs on the internet. All videos and photographs will be in good taste and are educational
in nature.
''''' - give permission for m! child+s photographs and videos to be ta.en and published.
''''' - would @'T li.e for m! child+s photographs and videos to be ta.en and published.
(arent+s $ignature ''''''''''''''''''''''''''''''' ,ate''''''''''''''''
-f !ou have an! /uestions please call me at #012&345-2611 or email at
.n7ohnson8henrico..94.va.us.
$arent.3uardian >olunteer A1aila(ility
'''''' - am available to volunteer for m! child+s class as a chaperon during school hours.
'''''' - am available to volunteer for m! child+s class wor.ing with other pro7ects during school hours.
'''''' - am %ot available to volunteer this !ear for m! child+s class during school hours.
$arent.3uardian +ontact nformation
Reminder 161
-f !ou would li.e to receive the reminders that !our child will receive please te:t the following
number #2;2& ;46-1023 #this is a toll free number standard te:t rate ma! appl!& enter the code
listed below ne:t to the class period !our child is in the message bo:. <ou will receive a repl!
message stating that !ou are now a part of the class list.
=ode
Food & Wellness > 2
th
(eriod 8foodw
Food & Wellness > 5
th
(eriod 8foodwe
Parents/Guardians name: Parents email(s):
Home number:
( )
Work number/cell number:
( )
( )
Parents/Guardians signature: Do I have permission to email and/or tet !ou
in"ormation pertaining to !our child and/or the
class#
Which do !ou pre"er#

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