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Parent Contact Info Form
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Parents, I would love to keep in contact with you. Please fill out your contact information below.
What block does your child have English?
Block 1
Block 2
Block 3
Block 4
Clear selection
Do you have internet access at home?
Yes
No
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What is your child's LAST name?
Your answer
What is your child's FIRST name?
Your answer
What is your LAST name?
Your answer
What is your FIRST name?
Your answer
What is your e-mail address?
Your answer
What is your phone number?
Your answer
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