SCES Student Registration Form
Please complete by 9/4/18
Email address *
Student Information
Student Last Name: *
Your answer
Student First Name: *
Your answer
Student Full Middle Name: *
Your answer
Grade Level: *
Date of Birth: *
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/
DD
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YYYY
Gender: *
Is your child Hispanic or Latino? *
Race: *
Town of Birth: (eg. Concord NH) *
Your answer
Country of Birth: *
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