Charlotte Public Schools Student Account Form

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Charlotte Technology Department
1068 Carlisle Hwy
Charlotte, MI 48813
phone: 517-541-5750
fax: 517-541-5755

Students Full Name *

Expected Graduation Year *

Who is your student's Homeroom/ 1st Block Teacher *

Full Street Address *

Phone Number (home) *

Mother's Maiden Name (for security reasons) *

Attending which School or site *

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