Hip Hop Winter 2020
Studentʻs Information
Frist Name *
Your answer
Last Name *
Your answer
Grade *
Room #
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Teacher
Pick Up *
Parentʻs Information
Motherʻs Name *
Your answer
Motherʻs Phone *
Your answer
Motherʻs Email *
Your answer
Fatherʻs Name *
Your answer
Fatherʻs Phone *
Your answer
Fatherʻs Email *
Your answer
Emergency Contact Information
In case of an emergency and parents cannot be reached please include an emergency contact.
Name *
Your answer
Relation to student *
Your answer
Phone Number *
Your answer
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