Wildfire Student Information 2017-18
Please help us learn how to connect with you best
First Name *
Your answer
Last Name *
Your answer
Gender *
Current Grade *
Birthday *
MM
/
DD
/
YYYY
At what address can we send you mail? *
(Home or PO Box)
Your answer
City *
(according to your mailing address)
Zip Code *
(according to your mailing address)
Your answer
Where do you do school? *
Please write the name of your school or that you homeschool in the space below...
Your answer
Parents' or Guardians' Name(s) *
Your answer
Parent or Guardian Email *
Write the email below or simply write "no" if you do not wish to include an email
Your answer
Home Phone Number *
(primary family phone number)
Your answer
Is this home number a cell phone? *
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