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Student Tech Support Request
RCOE Come Back Kids Tech Support
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Email *
First and Last Name *
Please enter student name if you are the parent completing this form.
Phone Number *
Example: (xxx) xxx-xxxx
School Site *
Teacher *
Date Issue(s) Began *
MM
/
DD
/
YYYY
Problem Category *
Required
Please leave a detailed description of the problem(s) you are encountering. *
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