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Please fill-in the following information:

Child's Name
(ex. Abraham Bugarin)
Child's Grade
(ex. 1st Grade)
School Name
(ex. Buffum Elementary)
School District
(ex. Long Beach Unified School District)

Families In Schools will be sending out family literacy tips. How would you like to receive them?

Have you had Internet at home in the past 6 months?

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