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Eagles Homework Club 2025-2026
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* Indicates required question
Student First and Last Name
*
Your answer
Homeroom Teacher:
*
Your answer
Grade:
*
5
6
Parent/Guardian First and Last Name
*
Your answer
Parent/Guardian Contact Number:
*
Your answer
Parent email
*
Your answer
Emergency Contact: Name/Phone Number:
*
Your answer
Does your child have any allergies?
*
Yes
No
If yes, please explain.
Your answer
Payment:
(all payments sent to your child's Homeroom Teacher)
*
Paying in Full: I will send a check (written out to: "HD Pickleballers") in an envelope labeled Eagles Homework Club.
Paying in Full: I will send in CASH in an envelope labeled Eagles Homework Club: .
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