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Mrs. Shively's Class
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* Indicates required question
Student's Name
*
(i.e. John Smith)
Your answer
Child's Birthday
*
11/04/2008
Your answer
Any siblings at MES or MHS?
*
Your answer
Parents' Name
*
Your answer
Preferred Phone Number
*
Your answer
Preferred email address
Your answer
Would you like to receive your weekly classroom newsletter via email or paper copy?
*
email
paper
How does your child get HOME from school each day?
*
i.e. Bus #11
Your answer
Would you like to volunteer in our classroom?
No
Weekly
Once in a while
At holiday parties
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