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LHS Wolf Den Request
Please fill out this form to schedule a visit to the Wolf
Den before school, during lunch or at one of the conferencing breaks.
Except in emergency situations, we will not be going out to the Wolf Den during class time.
This form is confidential.
* Indicates required question
Email
*
Record my email address with my response
Student Name (First, Last)
*
Your answer
Date:
*
MM
/
DD
/
YYYY
Grade
*
Sophomore
Junior
Senior
Person Requesting Wolf Den:
*
Myself
Other:
Required
I need:
*
Clothing
Socks
Undergarments
Shoes
Toiletries (toothbrushes, toothpaste, soap, hair care, face and body care)
feminine supplies
laundry soap
use of laundry facilities (free washer and dryer at PVA)
reusable water bottle
a backpack
a blanket
bath towels/washcloths
Other:
Required
Comments (if needed)
Your answer
Send me a copy of my responses.
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