Check-In Request with Mrs. Bender

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Check-In Request with Mrs. Bender

Hello LD Elementary Parents and Students! I'm missing you all very much and would love to stay in touch while we are out of the building. This form is a way to request a "meeting" with me. Answer the questions below and I will get back to you as soon as possible. Also, if it is an emergency please contact local law enforcement or call 911.

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Email *

Your email

Student's First and Last Name *

Your answer

Parent/Guardian's First and Last Name *

Your answer

Who is filling out this form? *

Parent or Guardian

Student

Other:

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