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2018-19 Student and Family Information

Student & Family Information

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* 1. Grade level

Grade 9 (Class of 2022)

Grade 10 (Class of 2021)

Grade 11 (Class of 2020)

Grade 12 (Class of 2019)

Student's Full Legal Name

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* 2. First name

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* 3. Middle name

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* 4. Last Name

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* 5. Student's Preferred Name (Nickname)

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* 6. Student's Place of Birth - City & State - example: San Francisco, CA

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* 7. Student's Social Security Number - example: 000-00-0000

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* 8. Student's HOME address

Address:

City/Town:

State:

ZIP:

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* 9. Student's MAILING address

Address:

City/Town:

State:

ZIP:

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* 10. Student Cell Phone - example (415) 000-0000

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