20/21 PCSS Declaration Form
Please complete this form for each PCSS student in your household.  It is important that each student is included as we make final preparations for the second semester of the 2020-21 school year.  All forms should be completed by.
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Name of Person Completing Form *
Relation to Child *
Student Last Name *
Student First Name *
School *
Student Grade for the 2020-21 School Year *
Student Home Street Address *
Student Home City *
Student Home Zip Code *
Parent / Guardian Contact Number (Include Area Code) *
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