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Gregory 2021-2022 Student Information Form
Please complete the following student information form to ensure we have the information needed to support your family during this academic year.
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* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Grade level for 2021-2022 school year:
*
Choose
K
1
2
3
4
5
Teacher's Name
Choose
Porter
Gary
Saunders
Chesner
Abrams
Dixon
Russell
Bernstein
McLaughlin
Cabell
Lopreato
Dennis
Grasso
Babore
Wheeler
Smith
Napoleon
Trimble
Ely
Hallinan
Garcia
Ross
Spencer
Slipp
Begonja
MD-2 Vacancy
BD-1 Vacancy
Raccosta
DiPalma
Not sure
Student's Home Address
Your answer
Mother's Full Name
*
Your answer
Cell Phone Number (Mother)
*
Your answer
Email Address (Mother)
Your answer
Father's Full Name
Your answer
Cell Phone Number (Father)
Your answer
Email Address (Father)
Your answer
Parent/Guardian Name (Other)
Your answer
Cell Phone Number (Other)
Your answer
Email Address (Other)
Your answer
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