Student Information Form - Rasey
Student First Name *
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Student Last Name *
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Block *
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Parent / Guardian #1 First Name *
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Parent / Guardian #1 Last Name *
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Parent / Guardian #1 e-mail *
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Parent / Guardian #1 Preferred Phone Number *
123 - 456 - 7890
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Parent / Guardian #2 First Name
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Parent / Guardian #2 Last Name
Your answer
Parent / Guardian #2 e-mail
Your answer
Parent / Guardian #2 Preferred Phone Number
123 - 456 - 7890
Your answer
What do you think your average test score was in Math 1? *
Required
I did re-takes on my tests. *
Required
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