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Parent Survey
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* Indicates required question
Student's Homeroom (first teacher listed after Specials)
*
Choose
Blaylock
Hucker
Jenkins
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Please list the name of siblings and ages
Your answer
Parent/Guardian First and Last Name
*
Your answer
Best Email for Parent/Guardian listed above
*
Your answer
Best Phone Number for Parent/Guardian listed above
*
Your answer
Is the number listed above a cell phone or land line?
*
Choose
Cell Number - I do not want to receive texts from teachers
Cell Number - I prefer to receive texts from teachers
Land Line
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