Headphones and Earbuds Sign Up

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Headphones and Earbuds Sign Up

Please fill out the form below only if you have financial burden and your child needs to check out a pair of school headphones/earbud. By filling out this form, you are acknowledging that you understand a fine of $25.00 if the headphones/earbuds become damaged or loss.

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* Indicates required question

Child's LAST Name *

Your answer

Child's FIRST Name *

Your answer

Child's Teacher *

Your answer

Parents, please type your name below acknowledging that you understand there is a $25 fee for lost or damaged headphones/earbuds. *

Your answer

Parent Email *

Your answer

Parent Phone Number *

Your answer

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