2020-2021 Mazzuchelli Catholic Middle School Healthy Kids Act
Please complete this form by August 2. Both you and your student(s) need to digitally sign the Physical Activity Contract portion of this form and other portions that apply to your student.
Parent/Guardian Name(s) (Last name, First Name(s)) *
Mazzuchelli Student Information
Please complete the information for your student at Mazzuchelli.

A form needs to be completed for each student at Mazzuchelli.
Student Last Name *
Student First Name *
Student Grade *
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