Registration 2019-2020
Student First Name (as it appears on birth certificate) *
Your answer
Student Middle Name
Your answer
Student Last Name *
Your answer
Student Preferred Name:
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Grade level for the 2019-2020 school year *
Gender *
Ethnicity: *
Student Street Address *
Your answer
Student City *
Your answer
Student Zip Code *
Your answer
Student County *
Your answer
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