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Are you moving over the Winter Break?
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Student's Name
*
Your answer
Teacher
*
Your answer
Date of Move
*
MM
/
DD
/
YYYY
New Address
Your answer
New School Name
Your answer
Parent (Legal Guardian) Name
*
Your answer
Parent Phone Number
*
Your answer
Parent E-mail
*
Your answer
Do you have a library book to return to the school?
*
Yes
No
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