FY 21-22 Electronic Acknowledgment Form-Hampton Middle
Please acknowledge that you have received attended the Title 1 Annual Meeting for October 21, 2021. If you have questions or require additional information please contact the Parent Engagement Professional at
770-707-2130 or email: janice.sams@henry.k12.ga.us.

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Email *
Acknowledgment Date *
MM
/
DD
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YYYY
Parent/Guardian's Name *
Child's Name (If you have multiple children at this, please complete a separate form for each child) *
Child's Current Grade *
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