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Showing up for each other: MTM Family Resource Center (MTMFRC)
Fill out the information below so your parent can be contacted about getting what's needed. This will not be shared with other students.
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* Indicates required question
What is the student's first and last name?
*
Your answer
What grade are you/your student in?
*
6th
7th
8th
What is your parent/ guardian's name?
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Your answer
What language(s) does your parent speak?
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Your answer
What is the best phone number to talk to your parent?
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Your answer
Does your parent know you're submitting this form?
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Yes
No
How many people live in your home?
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Your answer
How would you like the supplies to be distributed?
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Come in between 7:30-8:00am to SHOP (pick out and try on clothes or other items)
Come in between 7:30-8:00am to pick up an order
Please call me to figure out a pick up time
My family could use some help with the following: (check all that apply)
bedding
kid clothes
adult clothes
groceries
hygiene items
towels
school supplies
detergent
shampoo
conditioner
deodorant
toilet paper
Other:
Are there any specific requests or other information we should know?
Your answer
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