Registration Form (2019-2020)
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Class code (given by teacher)
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Student First Name
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Student Last Name
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Student Birthdate
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Student Cell Phone xxx-xxx-xxxx
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Location
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Vishwa Shanthi Information and Policies *https://goo.gl/5q6vQM *
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Parent/Spouse Information
Parent1/Spouse First Name Communication from school will be sent to this contact
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Parent1/Spouse Last Name
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Parent1/Spouse Cell Phone xxx-xxx-xxxx
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Parent1/Spouse email
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Parent2 First Name
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Parent2 Last Name
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Parent2 Cell Phone xxx-xxx-xxxx
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Parent2 email
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Email for billing purposes
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Address 1
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Address 2
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City
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Zip Code
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Home Phone Number xxx-xxx-xxxx
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Volunteer Options.
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Vishwa Shanthi Waiver and Release From Liability Form
Participant Name
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Parent/Guardian Name
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Signature of Parent/Guardian (if minor) or Participant
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Number of daily responses
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