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Email
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Your email
Today's Date
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MM
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DD
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YYYY
Parent/Guardian First Name
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Your answer
Parent/Guardian Last Name
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Your answer
Student Name
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Your answer
Age
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Your answer
Date of Birth
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MM
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DD
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YYYY
Gender Identity
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Male
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My child attends the following school
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Agoura High School
Calabasas High School
Home Address
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City
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Zip Code
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Parent Phone
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Student Phone
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Emergency Contact #1 Name
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Emergency Contact #1 Phone
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Emergency Contact #1 Relationship to Student
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Outdoor Education School Assignment
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Lupin HIll
Bay Laurel
Yerba Buena/White Oak
Chaparral
Willow/LVIS
Sumac/Mariposa
Round Meadow
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