JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Payne Education Center and Masonic Charity Foundation of OK Reading Tools Request Form
PEC reading tools given to students in grades Prek-3rd. Please fill out one form per child.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Personal Information
The following information is required to process orders of reading materials for students in grades PreK-3rd grade.
Parents Name - (last name, first name)
*
Your answer
Parents Address (address, city, state, zip)
*
Your answer
Grade of child
*
Choose
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th grade and above
Name of School child is enrolled in.
*
Your answer
I agree to allow Payne Education Center to contact me to discuss the learning materials received.
*
Yes
No
Other:
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
