Teacher Contact Form

Achieve Classroom Teacher Contact Form

This form will act as your consent for Achieve to contact your child's classroom teacher(s) to discuss course work, grades and other information related to tutoring your child. This information will not be shared with anyone other than you and the tutor.

* Indicates required field

Please select an option below. If you WOULD like us to contact your child's teacher(s), please fill in as much information as you can. Please note that better results are often achieved with regular communication with a student's teacher(s). *

Student Name *

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Parent/Guardian Name *

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Teacher 1 Name *

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Last

Teacher 1 Email *

Teacher 2 Name *

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Teacher 2 Email *

Teacher 3 Name *

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Teacher 4 Name *

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Teacher 3 Email *

Teacher 4 Email *

Please add additional teacher contact information here. *

By typing my name below, I give permission to the teacher(s) listed above to release information to Achieve about my child's grades, academic and behavioral information and any other information they deem necessary to best inform the instruction of my child. I also give Achieve permission to release information to my child's teacher(s) about my child's academic performance, behavior and any other information they deem necessary to best inform the instruction of my child. *

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