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M.A.S.H. Request Form
MASH or Mustang After School Help is located in the Media Center of MSMS. It is available for students to have a safe place to complete their homework or just be until 4:00 pm. A snack is provided. Please complete this form so we know who is expected to be in attendance. If you have further questions please contact Julie Adams at jadams@mssd14.org or Emily Osborne at eosborne@mssd14.org.

Thank you

Email address *
Date:
Student's Grade
Day of the week you would like your child to attend.
What day would like your child to start attending?
MM
/
DD
/
YYYY
Other information (is there a specific area of tutoring or support needed?):
Parent or Guardian Name
Phone #
Name & Phone # of Emergency Contact
A copy of your responses will be emailed to the address you provided.
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