2019-2020 Student and Parent Information Survey
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Parent Email Address *
Student Last Name *
Student First Name *
Homeroom Teacher *
Parent Phone Contact *
Emergency Contact: Name/Number *
Student Birthday *
Student Strengths *
Student Weaknesses *
Allergies or Medical Concerns *
Computer Access at Home? *
Any additional information you'd like to share...
Parents interested in helping with... (choose all that apply) *
Required
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