Classroom Rules Agreement Form

Student Full Name

First NameLast Name

Grade / Class

Student Email Address

example@example.com

Student Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Parent/Guardian Full Name

First NameLast Name

Parent/Guardian Email Address

example@example.com

Parent/Guardian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Please read the classroom rules below:

1. Be respectful to teachers and classmates.
2. Arrive on time and be prepared for class.
3. Listen when others are speaking.
4. Follow instructions the first time they are given.
5. Keep your workspace clean and organized.
6. No eating or drinking (except water) in class.
7. Use appropriate language at all times.
8. Raise your hand to speak or ask questions.
9. Complete and turn in assignments on time.
10. Electronic devices are only allowed with permission.

Which of the following classroom rules do you find most important? (Select up to 3)

Do you understand and agree to follow all of the classroom rules listed above?

Is there any rule you would like to suggest or any comment you want to make about the classroom rules?

Parent/Guardian: Do you acknowledge that you have reviewed these rules with your child and understand the expectations?

By signing below, you confirm your understanding and agreement to abide by the classroom rules.