Festus R-VI Summer School Grades 9-12
May 30 - June 28, 2019 Grades 9-12 Enrollment Form 8:10 am - 3:25 pm
Student's Legal Name *
Your answer
Student's Grade Fall 2019 *
Student's Birthdate *
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DD
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YYYY
Student's Gender *
Student's Race *
Student's Resident Address *
Your answer
Parent/Guardian Name *
Your answer
Relationship to Student *
Your answer
Parent/Guardian Cell Phone *
Your answer
Parent/Guardian Name *
Your answer
Relationship to Student *
Your answer
Parent/Guardian Cell Phone *
Your answer
Emergency Contact Name, Relationship Home/Cell Number (other than parent) *
Your answer
Emergency Contact Name, Relationship Home/Cell Number (other than parent) *
Your answer
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