16725 52nd Ave WestLynnwood, WA 98037Phone: 425-741-6500www.clothesforkids.orgRequisition for Clothing Form 2019-2020COMPLETE ONE FORM FOR EACH STUDENT, PLEASE! This portion to be completed by Authorized School/Agency Employee – PLEASE PRINTSchool: ___________________________ District: _____________________________ Student’s Last Name: _______________________________________ Student’s First Name: _______________________________________ Student’s Zip Code: ______________ Date of Birth ___ / ___ / ______ (mm/dd/yyyy)Grade: ____ Gender: M / F / X Ethnicity: ______________________________ ...
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