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The Branch Resource Request
Please fill out the requested information below and we will get back to you regarding your pick up needs. You will receive a confirmation email from Mrs. Patton room 204 regarding pick up.
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* Indicates required question
Student Name
*
Your answer
Today's Date
*
Your answer
Student ID#
*
Your answer
Parent/ Guardian Name
*
Your answer
Parent/ Guardian Email Address
*
Your answer
Student Address *
*
Your answer
Parent Phone Number
*
Your answer
Number of people in household
*
Your answer
Food allergies for anyone in family
*
Your answer
Is your student a bus rider?
*
yes
No
The food baskets can be difficult for students to carry home on the bus.. Please choose one of the following.
*
I would like to schedule a time to pick up a food basket.
My student will pick up the basket and bring it home on the bus.
My student will pick up the basket but does not ride the bus.
Please mark any hygiene items needed at this time
*
soap
toothbrush and toothpaste
shampoo
conditioner
Men's deodorant
Ladies deodorant
Ladies Body Wash
Men's Body Wash
Feminine Products
Laundry Detergent
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