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Vilas RE-5 Student Demographic Page 2025/2026
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Please complete all lines
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Student Name (Last, First, MI)
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Date of Birth
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Ethnicity
American Indian, Asian or Pacific Islander,
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Black, Hispanic, White (please circle one)
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Physical Address
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Mailing Address
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(if different from above)
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Home Phone
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Cell Phone
Receive text messages: Y or N
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Email Address
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Father's Name
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Father's Day Phone
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Father's Employer
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Father's Home Phone
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(if different from above)
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Father's Email Address
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Mother's Name
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Mother's Day Phone
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Mother's Employer
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Mother's Home Phone
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(if different from above)
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Mother's Email Address
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Guardianship
Father, Mother, Both, Other (please circle one)
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Guardianship Documentation
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Alternate Mailing Address
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Emergency Information
Contact #1
Contact #2
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Name & Relationship
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Phone Number
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