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The Clothesline Appointments
Spring/Summer 2023
Appointment
*
Name of Parent
*
First Name
Last Name
Let us know about your eligible children (grades K-12). If you are shopping for more than 4 children, please make 2 back-to-back appointments.
*
Name
Age
Child 1
Child 2
Child 3
Child 4
I will text a photo of one of the following to 571-354-7240 before my appointment
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Free/reduced price lunch letter from 2022/23 school year
Referral from school social worker or social service provider
I previously submitted this documentation for the 2022/23 school year
You can also email your reference form to contactclotheslinearl@gmail.com
Phone Number
*
Please enter a valid phone number.
Email
example@example.com
Comments / Questions
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