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* 1. Are you currently displaced from your home?

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* 2. Are you currently staying in Livingston Parish?

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* 3. Do you need bus transportation for your child to attend school?

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* 4. Will pick up for school be the same as the drop off after school?

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* 5. Current Physical Address

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* 6. Student #1, List

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* 7. Student #2, List

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* 8. Student #3, List

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* 9. Do you have more than 3 students enrolled in LPPS schools?

T