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Home Internet Access Request
Parent Information:
First Name:
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Last Name:
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Please enter your email address:
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Do you have access to home internet/wi-fi?
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Yes
No
Please select the grade level(s) your children are current in:
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K
1
2
3
4
5
6
7
8
9
10
11
12
Please provide your best phone number for contact.
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If you have other important information you like to share, please list here.
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