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Please complete this form to allow permission for your child to attend release time with WRE.

Parent or Guardian Name*
First Last
Parent or Guardian's Phone Number*
Student Name*
First Last
Email*
Enter Email Confirm Email
Elementary School*
School Year
Current Grade*
- 2nd Grade
- 3rd Grade
- 4th Grade
Teacher*
Please list any allergies or conditions we should be aware of
Signature*
Phone
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