STUDENT INFORMATION
This form is REQUIRED for EACH student in your household.
Please fill out this form in its entirety.  Thank you.
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STUDENT FULL NAME (first, last) *
GRADE *
ROOM NUMBER *
STUDENT HOME ADDRESS *
PARENT/GUARDIAN NAME #1 *
PARENT/GUARDIAN CELL PHONE NUMBER #1 *
PARENT/GUARDIAN WORK NUMBER #1
PARENT/GUARDIAN EMAIL ADDRESS #1 *
PARENT/GUARDIAN NAME #2
PARENT/GUARDIAN  CELL PHONE NUMBER #2
PARENT/GUARDIAN WORK NUMBER #2
PARENT/GUARDIAN EMAIL ADDRESS #2
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