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C.O.R.E. Placer, Inc. El Dorado County Interest List 2019-2020
Please complete this form for each of your students who you would like to add to the interest list.
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Student Name
*
Your answer
Student Grade Level for the 2019-20 school year
*
Transitional Kindergarten
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Current School District of Residence
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Email Address
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Physical Address
*
Your answer
Mailing Address
Your answer
How did you hear about us?
*
Your answer
Questions/Comments
Your answer
I am interested in enrolling for the 19/20 school year and I understand by adding my name to this interest list that I have not completed the student enrollment process.
(please print your name. this will count as your signature)
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Your answer
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