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WatchDOGS Registration Form for Curtsinger Elementary
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First Name
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Last Name
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Your answer
Address
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City
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Zip
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Email Address
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Home Phone
xxx-xxx-xxxx
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Cell Phone
xxx-xxx-xxxx
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Work Phone
xxx-xxx-xxxx
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Place of Employment
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Do they offer paid Community Service hours?
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Yes
No
Would your employer consider being a funding partner for the school or the WATCH D.O.G.S.® Program?
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Yes
No
If yes, whom should the coordinator contact?
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Student’s Name(s):
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Student’s Name(s):
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Homeroom Teacher(s):
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Homeroom Teacher(s):
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This is an e-signature form. By typing your name in the box it is the same as signing your signature and is legally binding. Type your Full Name:
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