Advisory Board Presents the 2017 Florida Missing Children’s Day Statewide 5th Grade Essay Contest



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Parent/Guardian’s Signature


___________________________________________________________________________________



SUBMISSION FORM

ATTACHMENT # 3


Florida Missing Children’s Day 2017

Statewide 5th Grade Essay Contest


Theme: “This Is How I Stay Safe All Day”

Please include this information to submit your school’s essay to the Essay Contest Coordinator.

Email to- fmcd@fdle.state.fl.us

Fax to 850-410-8744

Mail – FDLE/MEPIC, P. O. Box 1489, Tallahassee, FL 32302

PLEASE PRINT CLEARLY

Student’s Name as it should appear on the certificate. Please print clearly.


School/Program Type
Public/Charter Private Afterschool Program Home School Other

School/Program Name


School/Program Address

City



State



Zip Code



County



Teacher/Program Contact Name



Phone Number



Fax Number



Email



Alternate Teacher/Program Contact Name



Phone Number



Fax Number



Email




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