Disclosure Document Science with Miss Lowe
Student Name:
Class Period:
What strengths have you noticed in your child?
Is there any information which would help me teach your child more effectively?
How may I reach you?
	By phone:
	By e-mail:
	By mail:
(Parent) I have reviewed the disclosure document with my child and am interested in working together for his or her success:
		(signature)
(Student) I have read the disclosure document and understand my rights and responsibilities:
		(signature)