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* 1. Student First and Last Name 

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* 2. Parent First and Last Name 

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* 3. Grade

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* 4. What is your highest level of education?

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* 5. Where do you reside?

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* 6. Who does the student live with for most of the year?

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* 7. What language(s) are spoken at home?

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* 8. Are you interested in joining the PTO (parent/teacher organization)?

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* 9. What are you interested in learning about?

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