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Lakeland STAR School/Academy Enrollment Application
Please fill out the following questions. We will get back to you as soon as possible! Direct questions can be sent to Kaitlin Miesbauer through email- miesbauerk@lakelandunion.org or through phone at 715.358.5259 ext. 4000.
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Student Name
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Student date of birth
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Students Age
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Students current school
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Student Address (street address, town, state, zip)
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Parent/Guardian Name
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Relationship
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Address (if different)
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Home Phone
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Work Phone
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Parent/Guardian email
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Parent/Guardian Name
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Address (if different)
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Home Phone
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Work Phone
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Parent/Guardian email address
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Other Comments
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I certify my electronic signature, (electronically sign below)
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