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2019-20 Jesse Wharton Elementary                          Parent Contact Information
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Email *
Classroom Teacher *
Student First Name *
Student Last Name *
Student's Birthday *
Parent (s) Name *
Preferred Contact Number *
Preferred method for           immediate/emergency contact *
Health Concerns (If there are none, type N/A) *
Allergies (If there are none, type N/A) *
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