Parent Email Address (Please use your email address that is most frequently checked!): *
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Parent Cell Phone: *
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Parent Work Phone: *
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Student's Address: *
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Student's Birthday: *
MM
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DD
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YYYY
Additional Emergency Contact and Phone Number: *
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If your child has siblings, please list their name(s), grade level(s), and their teacher(s) at OEN: *
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Any important medical information I should be aware of? Please explain. *
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How will your child be getting home? (Please be as specific as possible. For example: Monday and Tuesday: Car rider. Wednesday-Friday: Aftercare. If they are a bus rider, please include their bus number.) *
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