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Internet Access & Device Request
Please complete this survey if you need internet access or a device for your child(ren) to participate in enrichment opportunities.
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Parent Name *
Parent Email *
Internet Access Needed *
Number of Devices Needed *
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Student (1) Name *
Student (1) Grade Level *
Student (2) Name
Student (2) Grade Level
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Student (3) Name
Student (3) Grade Level
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Student (4) Name
Student (4) Grade Level
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