Better to Serve 2024-2025
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Better to Serve 
Student 1 Information
Student 1 Name (first and last) *
Gender *
Preferred Pronouns
Grade in Sept. 2024 *
School *
Birthdate *
MM
/
DD
/
YYYY
Student cell phone *
Student Email Adress *
Dietary needs (check all that apply) *
All food is kosher and nut free
Required
Does this student have any illnesses or chronic conditions of which school personnel need to be aware (i.e. asthma, diabetes, heart condition, dietary restrictions, allergies, ADD/ADHD, hearing, vision, speech delays, ASD, etc.)? If so, please specify.
Please list any medications taken regularly by the student.
Do you have another student to register? *
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