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Dear Rm. 17 Parents,

Please fill out this questionnaire. It is information needed to create a Rm. 17 Directory for the purpose of opening communication lines between Ms. Glass, Room 17 Parents(You), Hancock Park Elementary School & the Booster Club.

Thank You,
Jenny Reyes
[email protected]
Room Parent
 
 
 
 
Student Name:
   
 
 
 
Birth Date: (MM/DD/YYYY)
   
 
 
 
Student Allergies:
   
 
 
 
Parent Name:
   
 
 
 
Cellphone Number(s):
   
 
 
 
Email Address(es):
   
 
 
 
Home Address:
   
 
Thank you for the information. Hope you have a wonderful year!! Sincerely, Jenny Reyes [email protected]
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