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Collegiate Baton Rouge Application
STUDENT AND PARENT/GUARDIAN INFORMATION
Student First Name
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Student Last Name
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Current Address
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City
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State
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Zip Code
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Student's Date of Birth
MM
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DD
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YYYY
Student's Gender
Student's Current Grade Level
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Student's Current School
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Parent/Guardian Full Name (first and last name)
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Relationship to Student
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Do you have a legal right to enroll this child in school?
Primary Contact Number
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Secondary Contact Number
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Parent/Guardian Email Address
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