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Blind PenPal or Gamer Match-Up Form
This form will enter you into a database with the LPOBC. We will keep your information confidential. Once a match is made, we will email both families each other's contact information.
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* Indicates required question
Parent Name
*
Your answer
Parent's Phone Number
*
Your answer
Parent's Email Address
*
Your answer
Student Name
*
Your answer
Student's Phone Number
*
Your answer
Student's Email Address
*
Your answer
Student's Age
*
Your answer
Communication Interest
*
Penpal via Hardcopy Mail (braille)
Penpal via Harcopy Mail (large print)
Penpal via Email
Penpal via Texting
Gaming (e.g., they may be connecting and talking while playing Blind Games on their devices)
Social Media
Required
Please share the student's interest. This will help us match up students better. (e.g. I really love music. I am in the choir and band.)
*
Your answer
Do you have interests or things you would prefer when being matched with a buddy? (e.g. I would really like someone who likes animals.)
*
Your answer
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This form was created inside of Lincoln Parish Schools.
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