Student Information 2018-19
Class period (number only) *
Example: 5, not "5th" or "B5"
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Name (last, first) *
Example: Smith, James
Your answer
Your email address *
In case I need to contact YOU
Your answer
Parent 1 name (last, first) *
Your answer
Parent 1 phone *
Example: 512-555-5555
Your answer
Parent 1 email *
Your answer
Parent 2 name (last, first) *
Your answer
Parent 2 phone *
Example: 512-555-5555
Your answer
Parent 2 email *
Your answer
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