2019-20 Parent/Guardian Information
Fill all fields as required. If not applicable please put NA
Mother's Name (first and last) *
Your answer
Father's Name (first and last) *
Your answer
*Parent/Student Address
*This address will be the primary address used for school correspondence. If there is a secondary address for one of the parents/guardians due to divorce or separation the non-custodial parent must contact the school on a yearly basis to be included on the school mailing list.
*Parent/Student Address, City, State and Zip *
Your answer
Email Address To Be Used for School Contact *
Your answer
Parent Contact Information - who we call first (name, cell & daytime phone number) *
Your answer
Parent Contact Information - who we call next (name, cell & daytime phone number) *
Your answer
Emergency Contact if Parent(s) Cannot Be Reached (name, cell & daytime phone number) *
Your answer
Student Cell Number (xxx-xxx-xxxx)
Your answer
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