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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your street address (example: 10 Green Lane)?

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* 4. What city do you currently live in?

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* 5. What state do you currently live in?

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* 6. What is your zip code?

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* 7. What is your primary telephone number?

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* 8. What is your email address?

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* 9. What grade is your child (or children) currently in? Click more than one if you have multiple children.

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* 10. What year was your child (or children) born in? Click more than one if you have multiple children.

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* 11. What is your child's (children's) name?

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* 12. What school does your child (children) attend?

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* 13. Do you intend to enroll your child (or children) in Atmosphere Academy when he or she enters 6th grade?

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* 14. By signing my name in the box below, I verify the statements made in this letter (rewrite your name below).

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