FMS After School Content/Credit Recovery Program Registration Form 2021-2022
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Email *
Student Last Name *
Student First Name *
Students 7th Hour Teacher's Name *
Student's Current Grade *
Does your child have an allergy? If so, please list.
Parent 1/Guardian 1 Name *
Parent 1/Guardian 1 Phone Number *
Parent 1/Guardian 1 Email *
Parent 2/Guardian 2 Name
Parent 2/Guardian 2 Phone Number
Parent 2/Guardian 2 Email
Street Address *
City *
Zip Code *
Emergency Contact (other than listed above) Name *
Emergency Contact Phone Number *
Emergency Contact Relation to Student *
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