Open House Registration
Sunday, October 21st, 9:30am
Student's First Name *
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Student's Last Name *
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Current Middle School *
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Home Number *
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Student's Cell
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Student's Email
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Mother's Title *
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Mother's Name *
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Mother's Cell *
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Mother's Email *
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Father's Title *
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Father's Name *
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Father's Cell *
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Father's Email *
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Mailing Address *
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Alternate Mailing Address (if applicable)
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Did you receive our postcards in the mail? *
How did you hear about Shulamith High School?
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