Student Information

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Student Information

* Indicates required question

Student First Name *

Your answer

Student Last Name *

Your answer

Teacher's name *

Custer

Dribble

Fruen

Gravina

Plechaty

Stroface

Parent/Guardian #1 Name *

Your answer

Parent/Guardian #1 Phone Number *

Your answer

Parent/Guardian #1 Email *

Your answer

Parent/Guardian #2 Name

Your answer

Parent/Guardian #2 Phone Number

Your answer

Parent/Guardian #2 E-mail

Your answer

How will your child be going home this year? *

Golf Cart

Car Rider

Walker

Biker

Bus

Aftercare

T-Shirt size for Walk-a-Palooza- this will be in February 2024 *

S

M

L

XL

May we release your e-mail address to PTO to send you news and updates? *

Yes

No

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