2024-2025 Student Information
Please fill out one for each student
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Student First Name
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Student Last Name
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Student's Date of Birth
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Student's Grade
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Please share any health concerns/special needs that you may have about your child. This information will be kept private with the Cornerstone Board. *
Please list any health concerns or special needs you would like Cornerstone to pass along to your student's tutor(s)? For example: ADHD, dyslexia, medication side effects. 
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Brag about your child. What are their talents, skills, and interests? Do they have a dream job or career in mind? *
Parent/Legal Guardians First Name
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Parent/Legal Guardians Last Name
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