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Sankofa Contacts Update 2017-2018
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Student First Name *
Please note that Student's name must be consistent with the name on the Birth certificate.
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Student Last Name *
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Student Middle Name
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Student Grade *
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Student ID *
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Date of Birth
MM
/
DD
/
YYYY
Mother's Name
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Father's Name
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Guardian
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Home Phone (###-###-####) *
Enter main Parent/Guardian contact number here
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Mother's Phone (###-###-####)
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Father's Phone (###-###-####)
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Email Address 1
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Email Address 2
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Emergency Contact Name 1
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Emergency Contact Number 1 (###-###-####)
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Emergency Contact Name 2
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Emergency Contact Number 2 (###-###-####)
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Street Address
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City
Zip
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Please list any siblings who should have the above contact info as well
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Comments (Please include any other contacts we should have on file)
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