Pumpkin Pre-Registration Form
* Required
Our Pumpkin entry is featuring this book:
*
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We are bringing in our own copy of the book for the pumpkin.
*
Please note: We might not have the book you need for your pumpkin.
Yes
No
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Pick up is Friday, October 28th
*
I understand that the pumpkin will be tossed if it is not picked up on the 28th.
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Email
*
We will email you with the number of your pumpkin, and the number will go home with one of your children the week of October 17th. Please bring the number to school with your pumpkin.
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Last Name
*
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Child 1: Name
*
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Child 1: Teacher
*
101AM-Weller-K
101PM-Weller-K
100AM-Rousakis-K
100PM-Rousakis-K
102-Mabrito-1st
103-Lally-1st
106-Rubenstein-1st
107-Fulara-1st
78-Schuetz-2nd
80-Vukmarkaj-2nd
82-Sweeny-2nd
84-Brennan-2nd
130-Miller-3rd
94-Sutter-3rd
96-Majeski-3rd
132-Rasmussen-3rd
109-Kennedy-4th
111-Jones-4th
112-LoPresti-4th
133-Pankau-5th
135-Belmonte-5th
136-Sianis-5th
134-Dinverno-5th
This is a required question
Child 2: Name
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Child 2: Teacher
101AM-Weller-K
101PM-Weller-K
100AM-Rousakis-K
100PM-Rousakis-K
102-Mabrito-1st
103-Lally-1st
106-Rubenstein-1st
107-Fulara-1st
78-Schuetz-2nd
80-Vukmarkaj-2nd
82-Sweeny-2nd
84-Brennan-2nd
130-Miller-3rd
94-Sutter-3rd
96-Majeski-3rd
132-Rasmussen-3rd
109-Kennedy-4th
111-Jones-4th
112-LoPresti-4th
133-Pankau-5th
135-Belmonte-5th
136-Sianis-5th
134-Dinverno-5th
This is a required question
Child 3: Teacher
101AM-Weller-K
101PM-Weller-K
100AM-Rousakis-K
100PM-Rousakis-K
102-Mabrito-1st
103-Lally-1st
106-Rubenstein-1st
107-Fulara-1st
78-Schuetz-2nd
80-Vukmarkaj-2nd
82-Sweeny-2nd
84-Brennan-2nd
130-Miller-3rd
94-Sutter-3rd
96-Majeski-3rd
132-Rasmussen-3rd
109-Kennedy-4th
111-Jones-4th
112-LoPresti-4th
133-Pankau-5th
135-Belmonte-5th
136-Sianis-5th
134-Dinverno-5th
This is a required question
Child 3: Name
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Do you have Twitter or Instagram user info? We would love to tag your pumpkin!
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Anything else we need to know?
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