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* 1. Students Full Name

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* 2. Students Age

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* 3. Students Date of Birth

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* 4. Parent/Guardian Name

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* 5. Relationship to Student

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* 6. Address

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* 7. City/State/Zip

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* 8. School District

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* 9. Day Phone

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* 10. Evening Phone

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* 11. Current/Previous School

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* 12. Grade

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* 13. Grade in 2019-2020 School year (select one)

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* 14. Name of siblings enrolling or currently attending PASCS

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* 15. Grade of siblings enrolling or currently attending PASCS

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