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* 1. Student's first name

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* 2. Student's last name

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* 3. Student's gender

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* 4. Student's address

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* 5. Student's date of birth

Date

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* 6. Best phone number to contact.

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* 7. Mother's full name

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* 8. Mother's cell phone

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* 9. Father's full name

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* 10. Father's cell phone

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* 11. Guardian's full name

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* 12. Guardian's cell phone (if living with someone other than mother and/or father)

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* 13. Parent email address

0 of 13 answered
 

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