Request for Contact

 
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1.
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Please use First and Last names so I know how to address you the parent and so that I know what child you are inquiring about. A class period would be helpful also.
 
   
2.
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Would you prefer I contact you via phone(123-456-7890) or email (reachmehere@aol.com), please provide that information in the box.
 
   
3.
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What is the reason that you would like me to reach out to you?
 
   
 
 
 
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