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Parent Advisory Committee Interest Form
Submit your interest in joining the Parent Advisory Committee for a School Based Health Center at Au Gres-Sims.
The next PAC meeting is
THURSDAY, OCTOBER 26 AT 6PM, ELEMENTARY LIBRARY
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* Indicates required question
Parent Name (First and Last)
*
Your answer
Best Email Address
*
Your answer
Best Phone Number
*
Your answer
Are you able to receive text messages at this phone number?
*
Yes
No
Other:
What are the names and ages of your children in the district?
*
Your answer
What questions do you have about the health clinic or the Parent Advisory Committee at this time?
*
Questions will be addressed at the next meeting of the PAC.
Your answer
Do you have any other questions or comments at this time?
Your answer
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