Medard's House Student Registration
Use this form if you are a new student at Medard's House.
City, State, Zip
Date of Birth:
I understand that in order to attend Medard's House, my parent/guardian must know where I am. I agree to follow all rules and policies. I understand that if fail to follow rules and policies, I may be asked to leave the premises.
I agree to the above statement.
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This form was created inside of Medards House.
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