Personal Information
Welcome to high school at ECLC. Please fill out this form so I can find out the best ways to communicate with you and your family..and hopefully get to know you better to!
Student Information
Name *
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Nickname
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Birthday *
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DD
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YYYY
School and District *
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Hobbies *
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School Clubs, Sports, Activities *
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Email *
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Cell Number *
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Social Media? Name/Handle/Username?
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What is the best way to contact you? Check all that apply *
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Family Information
Address *
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Parent 1 - Name *
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Parent 1 - Primary Phone Number *
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Parent 2 - Name
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Parent 2 - Primary Phone Number
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Comments
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