Hinton Elementary School 20-21 Enrollment Form
Student's Legal Name: LAST, FIRST, MIDDLE *
Preferred Name: *
Grade student will be in for the 2020-2021 school year: *
Gender: *
Date of Birth: *
MM
/
DD
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YYYY
Birth City, State and Country: *
Soc. Security # *
Race/Ethnicity (Select all that apply) *
Required
Is the student a member of an American Indian tribe? *
If yes, what is the name of the tribe and student's roll number?
Mailing Address: *
Physical Address: *
Home/Cell Phone *
Transportation: Car Line *
Transportation: Bus *
Do you have a Cell Phone *
If yes, who is your provider? *
Do you have Internet Service at your home? *
If yes, who is your service provider? *
What devices do you have other than a cell phone? (please check all that apply) *
Required
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