Pond Creek-Hunter High School Online Enrollment Packet
Please fill out all information requested completely and accurately. Thank you!
Name of Person Completing Form *
Your answer
Relationship to Child *
Child Legal First Name *
Your answer
Child Legal Middle Name
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Child Legal Last Name *
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Child Preferred Name or Nickname
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SSN
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Date of Birth *
(MM/DD/YYYY)
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Birthplace City State *
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Mailing Address *
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Home Street Address *
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City State Zip *
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Gender *
Ethnic Group *
If 2 or More Races, Please Specify Which Races
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US Citizen *
Last School Attended *
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Last Grade Completed *
Grade Entering *
Is a language other than English used in the home? *
If Yes, what is that language
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If Yes, is that other language spoken in the home
Student resides with *
Are there Legal/Custody Papers pertaining to this child? Please note, the school must have a copy of the court order on file declaring custody arrangement. *
Guardian 1 First Name *
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Guardian 1 Last Name *
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Guardian 1 Home Phone Number *
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Guardian 1 Cell Phone Number *
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Guardian 1 Mailing Address *
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Guardian 1 City, State, Zip Code *
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Guardian 1 E-Mail Address *
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Guardian 1 Place Of Employment *
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Guardian 1 Work Phone Number *
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Guardian 2 First Name *
Your answer
Guardian 2 Last Name *
Your answer
Guardian 2 Home Phone Number *
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Guardian 2 Cell Phone Number *
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Guardian 2 Mailing Address *
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Guardian 2 City, State, Zip *
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Guardian 2 E-Mail Address *
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Guardian 2 Place Of Employment *
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Guardian 2 Work Phone Number *
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Emergency Contact First Name *
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Emergency Contact Last Name *
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Emergency Contact Phone Number *
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Emergency Contact Relationship To Child *
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Please list any important medical information and/or food allergies for student:
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