Hillcrest School Registration 2019-2020
Email address *
Date of Application *
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Student Name (First middle last) *
Your answer
Student Gender *
Student Grade Level for the 2019-2020 school year. *
Student Date of Birth *
MM
/
DD
/
YYYY
Student Place of Birth *
Your answer
Student Street Address *
Your answer
Student City *
Your answer
Student Zip Code *
Your answer
Student Phone Number (leave blank if student does not have a phone)
Your answer
Student Email Address (gmail required for students in grades 7-9)
Your answer
Student Race/Ethnicity *
Student Baptized *
Student's Church Membership location
Your answer
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