Cumberland Distribution of Students' Belongings Parent Survey

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Please fill out this form in order to help us coordinate the distribution of students' belongings. Make sure to fill out one form for each of your students by Friday, May 8th, 2020. Information will be shared soon with a more detailed plan for pick up the last week of May.

Student's First Name *

Student's Last Name *

Grade Level/Program *

Classroom Teacher *

Our district will be sharing a plan for picking up students' belongings in the next few weeks. To prepare, it will be helpful to know if you will want to pick up items once we share our plan. We are planning to schedule pick up days the last week of May. Please choose ONE of these two options. *

Yes, I want to pick up my child's belongings during the last week of May

No, I do not want to pick up my child's belongings at this time.

Required

Please indicate if someone other than you, Parent/Guardian, will be picking up belongings. *

Yes, I will be picking up items (Parent/Guardian)

No, Someone else will be picking up items.

I do not want to pick up my child's belongings at this time.

Required

First Name, Last Name & Relationship to the student if someone other than Parent/Guardian will be picking up items.

First Name/Last Name of Parent/Guardian filling out this form. *

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