Laclede Co. C-5 Joel E. Barber Enrollment Form
Address where the child lays his/her head at night *
This address lies within the boundaries of the Laclede County C-5 Joel E. Barber School District *
I currently have, or previously have had, students enrolled in the JEB district *
Parent #1 Full Name *
Parent is: *
Relationship to child *
Parent #1 Phone Number *
Parent #1 email address *
Parent #1 Employer and Phone Number *
Parent #2 Full Name *
Parent is: *
Relationship to child *
Parent #2 email address
Parent #2 Phone Number
Parent #2 Employer and Phone Number
Additional parent/guardian name and relationship
Additional parent/guardian address
Additional parent/guardian phone number
Additional parent/guardian email address
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