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Salt Lake County Youth Services Summer and Afterschool Program
Registration Form - Kennedy Junior High School
Student Participant Information
NA
Student Last Name
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Student First name
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Student's ID Number
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Gender
Birthdate
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DD
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YYYY
Grade Level
Homeroom Teacher
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Ethnicity
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Home Address
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City
State
Zip Code
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Home Phone Number
ex. 123-456-7890
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