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Message of Kindness Video Upload
Complete this form and then follow the instructions for uploading your video. Students under the age of 18 must have this form submitted by a parent.
If you have questions or require assistance please email -
kindness@wiu7.org
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* Indicates required question
Please select one.
*
I am a parent or guardian, completing this form on behalf of my child who is under the age of 18.
I am a student, 18 or older.
Student Name
*
Your answer
School District
*
Your answer
School
*
Your answer
Grade
*
Choose
EI
K
1
2
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5
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Student Email
Your answer
Parent Email (if student is under the age of 18)
Your answer
By indicating my selection below, I hereby consent that the video image of the above named student may be used by the Westmoreland Intermediate Unit and PAIU for publication, display and/or broadcast.
*
Yes
No
Video Upload
After clicking the "Submit" button, you will be provided a link to upload your video file!
Submit
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