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Student Information Survey
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* Indicates required question
Teacher Name
*
Choose
Coffin
Plechaty
Puschus
Schultze
Vaughn
Worden
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Parent/Guardian #1 Name
*
Your answer
Parent/Guardian #1 Phone Number
*
Your answer
Parent/Guardian #1 Email Address
*
Your answer
Parent/Guardian #2 Name
*
Your answer
Parent/Guardian #2 Phone Number
*
Your answer
Parent/Guardian #2 Email Address
*
Your answer
How will your child go home from school?
*
Aftercare
Bike Rider/Walker
Bus
Car Rider
Golf Cart
May we release your email addresses to Manatee PTO?
*
Yes
No
What is your child's T-shirt size? (for walk-a-palooza shirt) Adult Sizes
*
S
M
L
XL
XXL
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