Mrs. Moore's Request Form - 3rd Term
This form is due by December 17, 2020.  

Please note:  This form is for Mrs. Moore's class only.  
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Student Name *
FOR THE 3RD TERM, JANUARY 19 - MARCH 25, 2021.  As the parent/guardian of the student listed above, I am confirming that my student will participate in: *
Please consider carefully.  Once committed to face to face learning or distance learning, your student must continue with that selection for the duration of the term. Parent/Guardian Name *
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