Please answer the following questions about your 6th grader.
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Student Name (Last Name, First Name)
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Student Name (Last Name, First Name)
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Untitled Titlex
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Title
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Student Birthdate (MM/DD/YYYY)
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Student Birthdate (MM/DD/YYYY)
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Parent/Guardian Name
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Parent/Guardian Name
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Parent/Guardian Name
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Parent/Guardian Name
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Address
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Address
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Email Address
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Email Address
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Alternate Email Address
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Alternate Email Address
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Phone Number
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Phone Number
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Additional Phone Number
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Additional Phone Number
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How will your child go home in the afternoons?
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How will your child go home in the afternoons?
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Bus Rider
Car Rider
Walker
Hot Wheels Bus
YMCA
After School Child Care at DPEE
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add "Other"
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If your child rides the bus in the afternoon, what is the bus number and/or driver's name?
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If your child rides the bus in the afternoon, what is the bus number and/or driver's name?
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Is there any important information, including medical needs, that I need to know?
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Is there any important information, including medical needs, that I need to know?
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If you are able to, please volunteer for the following:
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If you are able to, please volunteer for the following:
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PTO representative
Room Parent
Assist with Christmas Party
Assist with End of the Year Party
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May I share your email address with my room parent?
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May I share your email address with my room parent?
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Yes
No
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T-Shirt Size
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T-Shirt Size
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Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult X Large
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add "Other"
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Does your student have internet access at home?
*
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Does your student have internet access at home?
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Student Name (Last Name, First Name)
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Untitled Titlex
Student Birthdate (MM/DD/YYYY)
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Parent/Guardian Name
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Parent/Guardian Name
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Address
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Email Address
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Alternate Email Address
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Phone Number
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Additional Phone Number
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How will your child go home in the afternoons?
Copy
No responses yet for this question.
If your child rides the bus in the afternoon, what is the bus number and/or driver's name?
Copy
No responses yet for this question.
Is there any important information, including medical needs, that I need to know?
No responses yet for this question.
If you are able to, please volunteer for the following:
Copy
No responses yet for this question.
May I share your email address with my room parent?
Copy
No responses yet for this question.
T-Shirt Size
Copy
No responses yet for this question.
Does your student have internet access at home?
Copy
No responses yet for this question.
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