Request for Student Items - Madison
The building will be open Monday (3/16) and Tuesday (3/17) from 8:00 AM to 3:00 PM to pick up any necessary school materials, including medication. Please complete this form to provide us with the details needed to gather the needed items for your child. As Dr. Thacker stated in his message to families on Friday, staff will bring items outside for pickup as a safety precaution. If you are not available to come at these times, please contact Mr. McMillen at kmcmillen@phm.k12.in.us

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Email *
Your child's FIRST name
Your child's LAST name
Grade
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Items Needed
Do you need to pick up medication?
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Estimated Time of Pick Up (Offices are open from 8:00 AM to 3:00 PM).
Time
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