Byrd Humanities Academy-BHA Application/Solicitud para La Academia BHA
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Student's Last Name/Apellido del estudiante *
Student's First Name/Primer nombre del estudiante *
Student's Date of Birth/Fecha de nacimiento del estudiante *
MM
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DD
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YYYY
Applying for grade/Solicitud para nivel *
Home Address/Domicilio *
Parent/Guardian Phone Number/ Numero de telefono del Padre/Guardian *
Parent/Guardian First and Last Name-Nombre del padre/Guardian
Parent Email Address/Correo electronico del Padre/Guardian *
Current School of Student/Nombre de la escuela reciente del estudiente *
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