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name email Address City State Zip Code Relation to DCSD Parent Student Community Member Staff Member School Affiliation(1) -- select one -- Central North West Kimberly Center Smart Sudlow Walcott Williams Wood Young Adams Blue Grass Buchanan Buffalo Children's Village at Hoover Children's Village West Eisenhower Fillmore Garfield Harrison Hayes Jackson Jefferson Lincoln Madison McKinley Monroe Truman Washington Wilson School Affiliation(2) -- select one -- Central North West Kimberly Center Smart Sudlow Walcott Williams Wood Young Adams Blue Grass Buchanan Buffalo Children's Village at Hoover Children's Village West Eisenhower Fillmore Garfield Harrison Hayes Jackson Jefferson Lincoln Madison McKinley Monroe Truman Washington Wilson School Affiliation(3) -- select one -- Central North West Kimberly Center Smart Sudlow Walcott Williams Wood Young Adams Blue Grass Buchanan Buffalo Children's Village at Hoover Children's Village West Eisenhower Fillmore Garfield Harrison Hayes Jackson Jefferson Lincoln Madison McKinley Monroe Truman Washington Wilson School Affiliation(4) -- select one -- Central North West Kimberly Center Smart Sudlow Walcott Williams Wood Young Adams Blue Grass Buchanan Buffalo Children's Village at Hoover Children's Village West Eisenhower Fillmore Garfield Harrison Hayes Jackson Jefferson Lincoln Madison McKinley Monroe Truman Washington Wilson Grade(s) you or your student(s) are in Pre-K K-1 2-3 4-5 6-8 9-12 Special Extracurricular Interest Music Fine Arts Athletics Drama/Theatre Culture/History Would be willing to participate in on-line polls regarding district issues? Yes No Want to receive updates on legislative advocacy actions? Yes No Want to be notified of volunteer opportunities within the district Yes No Want to receive an email link to agendas for upcoming Board meetings? Yes No add   modify   remove