da Vinci Locker Use Request

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Dear da Vinci Students and Families,
Earlier we hoped to reintroduce locker use to our students; however, with the Covid variants, we know we need to continue to be cautious. We will still offer lockers to students who need them. Please complete the form in order to request a locker. We will be working to assign lockers to student who need them within the next few weeks.

Thank you,
da Vinci School Team

Email *

Name of person completing form (last, first) *

I am a: *

Parent/Guardian

Student

SPED Case Manager

Name of student requesting a locker (last, first) *

Student ID # *

Grade Level *

6th

7th

8th

Reason for the request: *

Medical Reasons

Band Instruments

Dance Attire

Heavy Course Materials

Heavy Backpack

Other:

Additional Comments

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