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Request for clothing or groceries
The responses to this form are kept completely confidential. The only information forwarded on when I make my request are the items needed, number of students and grade level. You will also automatically receive a copy of this information in an email.

Please note that some questions have a red *. That means these questions require a response. If there is not a red *, you may skip that question if you don't need to answer it.  
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Email *
Your name *
Your phone number *
What are you in need of? *
Required
What is/are the names of the student(s) in need? 
All shopping will be done by you. Mrs. Jones will meet you at the necessary store(s) and pay for your items. Do you agree to this stipulation? *
A copy of your responses will be emailed to the address you provided.
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