2020-2021 Lytle ISD Health Form
Please fill out the following health information for your child.
Student's First Name *
Student's Last Name *
Student's Date of Birth *
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/
DD
/
YYYY
Which campus is your child at? *
Student's Grade Level *
Mother/Guardian's Name *
Mother/Guardian's Cell Phone Number *
Mother/Guardian's Work Phone Number *
Father/Guardian's Name *
Father/Guardian's Cell Phone Number *
Father/Guardian's Work Phone Number *
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