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Iao Summer Enrichment 2022
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Please fill out the information below. If more than one child will be attending please submit another form.
Student's Name
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Your answer
Gender
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Choose
Male
Female
Current School
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Your answer
In August I will be in grade
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Grade 6
Grade 7
Grade 8
Mailing Address
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Parent email address
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Your answer
List any serious health conditions we should be aware of
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Your answer
Does your child receive special services during the regular school year?
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Yes
No
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Parent/Guardian's Name
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Your answer
Emergency contact/phone numbers
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