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May 2023 Movie Selection & Permission
Please complete for your student.
* Indicates required question
Email
*
Record my email address with my response
Student First & Last Name
*
Your answer
Please select student's class.
*
K-AM: Mrs. Leisure
K-PM: Mrs. Leisure
1 - Mrs. Drexel
1 - Mrs. Snyder
K-1: Miss Campo
2 - Ms. Szentesy
2 - Miss Walker
3 - Ms. Allen
3 - Mrs. Eshleman
2-4: Miss VanLeuvan
4 - Mrs. Iddings
4 - Mrs. Orzolek
5 - Mrs. Haverstick
5 - Mrs. Rote
5-6: Mrs. Gutierrez
6 - Mr. Miller
6 - Mr. Sarra
Please select ONE movie from the two provided choices.
*
The Magician's Elephant
The Willoughbys
Required
Parents: Please type
your
FIRST & LAST NAME below to sign as a virtual signature granting your child permission to watch the movie selected above.
*
Your answer
Send me a copy of my responses.
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