English - Invitation to the Community Event

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Please fill to express your interest in participating in the Shoreline School District community event on
May 13, 2017, 8:30 AM-3 PM in Shoreline Center 18560 1st Ave NE, Shoreline, WA 98155. We kindly ask that you commit to the whole duration of the event.

Filling out this form is not your confirmation of participation.
Due to the limited seating capacity, not all responders will be able to attend the event. You will receive a confirmation of your participation the week of April 24, 2017. Thank you!

First Name *

Last Name *

Phone Number *

Email Address *

What ethnicity best describes you? *

American Indian/Alaskan Native

Asian / Pacific Islander

African American

Hispanic

White/Caucasian

Other:

What role best describes you? *

Certificated

Classified

Administrative

Family member

Student

Other:

What is your primary work location?/ What school do you/your child attend(s)? *

Briarcrest

Brookside

Cascade K-8

Echo Lake

Highland Terrace

Lake Forest Park

Meridian Park

Parkwood

Ridgecrest

Syre

Shoreline Children’s Center

Early Childhood Center

Head Start

Home Education Exchange

Einstein

Kellogg

Shorecrest

Shorewood

Shoreline Center

Transportation

Food Services

Other:

Are you a member of the Strategic Planning Committee *

Yes

Meal Preference *

Standard

Vegetarian

Required

Will you require an interpreter? *

Yes

If you require an interpreter, please specify the language.

Would you require childcare? *

Yes

If you require childcare, for how many children?

Please list ages for each child.

Please note, childcare will be provided for potty-trained children 2.5 years and older.

Special accommodations required? *

Yes

If you require special accommodations, please specify.

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