Resident Application New/Returning Students
Student Information
Student First Name *
Your answer
Student Middle Name *
Your answer
Student Last Name *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Gender *
Do you live in Eastbrook District? *
For what school are you registering? *
Student Grade Level for 2019-20 School Year *
Ethnicity (Hispanic/Latino)? *
Federal Race *
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