Open House Registration
Student Name:
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Current School:
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Current Grade:
Sibling(s) Name - Grade:
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Parent Name(s):
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Home Address (Number/Street):
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Home Address (City):
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Home Address (Zip):
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Primary Phone:
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Parent Email Address:
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Student's Favorite Subject(s):
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Club/Activity Interests:
Check all that apply.
Athletic Interests:
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