BEN PARKER OHANA 2018 - 2019
Parent Last Name *
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Parent First Name *
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Relationship to Child *
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Mailing Address
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City
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State
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Zip Code
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Phone Number
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Email Address
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Child's Name (Child 1) *
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Child 1 Class/Grade *
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Child's Name (Child 2)
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Child 2 Class/Grade
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Child's Name (Child 3)
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Child 3 Class/Grade
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Child's Name (Child 4)
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Child 4 Class/Grade
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I would like my information to be included in the school directory
2 Hour Power Pledge - I pledge to give 2 hours to our school this year. *
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