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Parent/Student Textbook Request Form 2018-2019
Use this form to checkout textbooks for home use. One form per student only. Please contact Dr. Moreno (Campus Textbook Coordinator - with any questions regarding textbooks.
Email address *
Student Name (Last, First) *
Your answer
Student ID# (Lunch number) *
Your answer
Student Grade
Subject of Textbook you are requesting (Check all that apply) *
Indicate below additional textbooks not listed above
Your answer
Books checked out to take home are the responsibility of the student and must be returned in the original shape during the last week of school. Books that are not returned will be charged as a fine to the student's account. If you have any issues with the textbooks, please contact Dr. Moreno ( immediately so he can assist.
Parent Name (Last, First) *
Your answer
Parent Contact Number
Your answer
A copy of your responses will be emailed to the address you provided.
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