2018 Hearing Exam Registration
You must register your student in order to utilize this great opportunity!

The County Hearing Van will be on our campus on Friday, February 23 at 10am. They will leave after all students who have registered and arrived at 10 have been seen - so plan to arrive at or before 10am.

Parent Name *
Your answer
Student Name *
Your answer
Student Grade *
Education Coordinator *
Thank you!
Never submit passwords through Google Forms.
This form was created inside of Hickman Community Charter District. Report Abuse - Terms of Service - Additional Terms