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This completed form contains information that is confidential and/or privileged. If you are not the intended recipient. You must not use, copy, disclose or take any action based on this information or any data contained in this form. If you have found/received this completed form by error, please notify your site supervisor and/or the office of family and student services immediately. This form cannot be produced for a records request.Thank you for your cooperation.
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This form was created inside of San Leandro Unified School District.