5th Grade Rock Eagle Chaperone Interest - November 5 - November 7, 2025
This form is to allow us to gauge interest in chaperoning. It does not guarantee selection.  Thank you!!!
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Student Last Name, Student First Name *
Student Homeroom *
Parent/Guardian Last Name, First Name *
Parent/Guardian email
 *
Parent/Guardian cell # *
Parent/Guardian Date of Birth (if selected, it will save us time when scheduling background checking)
 *
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