Vertical Edge - Students 2017-2018
CONTACT INFORMATION
First Name
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Last Name
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City
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Home Phone Number
Enter "None" if you don't have a home number.
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Student Cell Number
Enter "None" if you don't have a cell number.
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Student Email
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Do you have facebook?
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PARENT INFORMATION
Father's Name
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Mother's Name
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Parent's Cell Phone Number(s)
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Parent's Email
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STUDENT INFORMATION
Gender
Birthday
Enter Birthday (MM/DD/Year)
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Age
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School
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Grade
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Church
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Medical Conditions/Food Allergies
Please let us know if there are any medical conditions/Food Allergies that we need to be aware of...if you don't have any medical conditions or food allergies, just say None.
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