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Student Name:
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Building:
Hartville Elementary
Lake Elementary
Uniontown Elementary
Grade:
K
1
2
3
4
5
Teacher Name:
Reason:
Parent Name:
Phone Number:
Will Pickup Assignments:
Yes
No
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436 King Church Avenue SW | Uniontown, Ohio 44685
Voice: (330) 877-9383 | Fax: (330) 877-4754