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NOTE:

For official copies of board policies and procedures please contact the superintendent's office at (253) 583-5190 or email supt@cloverpark.k2.wa.us

Clover Park School District
10903 Gravelly Lake Drive SW
Lakewood, Washington 98499

Form 2020-F1

Request for Review of Instructional Materials


  1. Name of Person Requesting Review

    Address

    Telephone

  2. Child's Name

    Grade

    School


  3. Title

    Author

    Copyright Date

    Publisher
  4. Subject and Grade Level(s) in which used

I request that the material listed above be made available to me for my review and hereby acknowledge its receipt.

Date: Signature:

Listed above was returned on


Principal's Signature

 

Former Form Number: 4401-F1

Date: 05.89

Revised: 06.05.12