Summer Family Contact Form

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Please complete this form so that we can keep in touch with updates throughout the summer. As always, please continue to check PS100x.org AND Class Dojo for up to date information. Have an amazing summer! For organizational purposes, please fill out a separate survey for each child who attends the school.

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Student First Name *

Your answer

Student Last Name *

Your answer

Parent First Name *

Your answer

Parent Last Name *

Your answer

Best Phone Number to Reach You Over the Summer *

Your answer

Best Email Address to Reach You Over the Summer *

Your answer

Is there anything else you would like us to know over the summer?

Your answer

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