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* 1. Your Name

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* 2. Your Child’s Name (enter two names if you have more than one child in 4th grade)

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* 3. Please check off the name of child’s teacher (you can select two names if you have two fourth graders)

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* 4. Moving On Committees you are interested in being part of (check all that apply)

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* 5. Please select your level of interest ***(All Field Day and Student Luncheon volunteers must be Double ok’d)***

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* 6. Are you interested, or do you know of any local business or individual that would be interested, in sponsoring an activity for Moving On?
This could include donating a product or service, or covering the cost of the product or activity, such as a DJ or photo booth, the staff lunch, etc.

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* 7. Your e-mail address

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* 8. Please help us select a theme for this year’s Moving On Ceremony.

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