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Mandalay Elementary School Students - Weekly Health Screening Survey
Please complete this form each week before your child attends school.
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* Indicates required question
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Child's Grade
Kindergarten
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2
3
4
5
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Child's Teacher
*
Allan
Berman
Brown
Buffalino-Morgan
Davidson
Evans
Favata
Gericitano
Giangrande
Homolka
Jordan
Joyce
Kopp
Lahti
Martinek
O'Callaghan
Rogate
Scarth
Wright
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