Bennet Academy Lock Rental
Please complete this form if you are interested in renting a school lock from Bennet Academy. Locks must be returned to their home base teacher by June 1, 2023.
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Email *
Student First Name *
Student Last Name *
Student ID *
Grade *
Homebase Teacher Name *
Parent First Name *
Parent Last Name *
Parent Phone Number *
By entering your initials in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
*
DATE: *
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A copy of your responses will be emailed to the address you provided.
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