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Wildwood New Student Registration 2019-2020 School Year
2019-2020 New Student Registration: Grades 1-5
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* Indicates required question
Student First Name
*
Your answer
Student Middle Name
*
Your answer
Student Last Name
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Student Gender
*
Female
Male
Student Graduation based on entering 2019-2020
*
2031 (1st grade)
2030 (2nd grade)
2029 (3rd grade)
2028 (4th grade)
2027 (5th grade)
Primary Phone Number
*
Your answer
Parent 1 Email
*
Your answer
Parent 1 First Name
*
Your answer
Parent 1 Last Name
*
Your answer
Parent 2 Email (If not applicable, please respond n/a)
*
Your answer
Parent 2 First Name (If not applicable, please respond n/a)
*
Your answer
Parent 2 Last Name (If not applicable, please respond n/a)
*
Your answer
Are you a current resident of Mountain Lakes
*
Yes
No
If yes, as of what date. If no, type n/a
*
Your answer
If no, are you
*
Moving to district
Tuition, non resident
n/a (current resident)
Current Address
*
Your answer
Name of the transferring school
*
Your answer
Address of the transferring school (include street, city, state and zip code)
*
Your answer
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