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Student Enrollment Form 2022-2023 school year
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Student Information
First and Last Name: *
Date of birth: *
MM
/
DD
/
YYYY
Home Address: *
Grade Entering: *
Last School Attended: *
Parent/Legal Guardian Information
Father's First and Last Name: *
Father's cell phone number: *
Father's email address: *
Mother's First and Last Name: *
Mother's cell phone number: *
Mother's email address: *
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