Required Parent Information Form
As part of our Health and Safety plan mandated by the State of Pennsylvania, parents/legal guardians must provide their most recent contact information before the first day of school. Prep Charter is requesting that this information be submitted by August 30th, 2021. We thank you for your cooperation.
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Email *
Student Last Name: *
Student First Name: *
Student Grade (for the upcoming 2021-2022 school year): *
Name of primary parent/legal guardian (First and Last Name): *
Cell phone of primary parent/ legal guardian: *
Email of primary parent/ legal guardian: *
Name of secondary parent/ legal guardian (First and Last Name):
Cell phone number of secondary parent/ legal guardian:
Email of secondary parent/ legal guardian:
Primary Mailing Address of Student: *
Preferred Method of Teacher Contact: *
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