Annual Information Update 2014-2015
Celebrities Name *
Last, First, MI
Celebrities Grade Level *
Celebrities birthdate *
MM
/
DD
/
YYYY
Celebrities address *
Street address where the Celebrity lives the majority of the time
Celebrities city of residence *
Celebrities ZipCode *
Celebrities home phone number *
area code + 7 digit phone number
Celebrities personal cell phone number *
area code + 7 digit phone number
Celebrities Parent/Guardian #1 Name *
Last, First, MI
Celebrities Parent/Guardian #1 Relationship *
Celebrities Parent/Guardian #1 cell phone number *
area code + 7 digit phone number
Celebrities Parent/Guardian #1 preferred email address *
please list an email address that you check regularly
Celebrities Parent/Guardian #2 Name *
Last, First, MI
Celebrities Parent/Guardian #2 cell phone number *
area code + 7 digit phone number
Celebrities Parent/Guardian #2 preferred email address *
please list an email address that you check regularly
Celebrities Parent/Guardian #2 Relationship *
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