Request for Pesticide Notification

I understand that the school will make available an estimated schedule of pesticide applications for review and copying at the school office.  Should a pesticide application be scheduled at a time different from the days specified in the original schedule, I would like to be notified.  The form below must be returned by October 1, 2024.

I would prefer to be notified by (circle one):        US MAIL         E-MAIL

Please print neatly:

Name of Parent/Guardian: ________________________________________________________________  Date: ________________

Address: ____________________________________________________________________________________________________

Phone: __________________________  E-mail: ____________________________________________________________________

Return To:
Chris Wilmot, Director of Buildings and Grounds
Cambridge-Isanti Public Schools
625A Main Street North Cambridge, MN 55008