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2023-2024 Private/Home School DE Enrollment Form
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Email
*
Your email
Student Last Name
*
Your answer
Student First Name
*
Your answer
Grade Level
*
9
10
11
12
Other
Date of Birth
*
MM
/
DD
/
YYYY
Name of School
*
Your answer
Street Address of School
*
Your answer
City Where School is Located
*
Your answer
Parent Email Address
*
Your answer
Do you live in Davie County
Yes
No
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Student Email Address (different from parent--please make one if necessary)
*
Your answer
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