We ask our child who she considers to be impactful or exceptional teacher(s) for the year. Our child goes in and personally thanks him or her at the end of the school year. She also delivers a note from us reiterating our appreciation with a gift card enclosed. Our child usually does the sleuthing to find out what may work best -- gift card from bakery near school, Starbucks, B&N, Target or Amazon etc. It is usually only a few teachers per year, so not a big deal. They have Teacher Appreciation Week in May, so we already have thanked them
once.