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JKC Lunch Buddy Signup
By filling out this form, you are agreeing to meet with your lunch buddy twice per month.
* Indicates required question
Email
*
Your email
Name
*
Your answer
Phone Number
*
Your answer
Please mark times you are available to visit
*
10:40am-11:00am
11:00am-11:20am
11:20am-11:40am
11:40am-12:00pm
12:00pm-12:20pm
12:20pm-12:40pm
Required
I understand that privacy is important and that I cannot post pictures or student names on social media or discuss their circumstances with anyone outside the school.
*
Yes
I understand that any information I learn that could indicate that a child is in danger or needs other assistance must be reported to the child's counselor for follow up.
*
Yes
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