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* Indicates required question
Student Name
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Name of Previous School
*
Your answer
Grade entering
*
PreK (student must be 4 years old by August 31, 2020)
Kindergarten (student must be 5 years old by August 31, 2020)
1st
2nd
Additional Siblings at HVPS
*
Your answer
Who does student live with?
*
Mother
Father
Both parents
Other:
Main Phone number
*
Your answer
Mother Name
*
Your answer
Mother Phone Number
*
Your answer
Mother Email
Your answer
Mother Place of Employment
Your answer
Mother Work Number
Your answer
Father Name
*
Your answer
Father Phone Number
*
Your answer
Father Email
Your answer
Father Place of Employment
Your answer
Father Work Number
Your answer
Home Physical Address
*
Your answer
If bus pick-up and drop-off are different than home physical address, please provide info here and contact Transportation Office at 575-267-8221
Your answer
Mailing Address
*
Your answer
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