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Omni Middle School 7th Grade Elective Course Selection Form
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* Indicates required question
Student Last Name
*
Student's Legal Last Name
Your answer
Student First Name
*
Student's Legal First Name
Your answer
Student Number
*
If new to the School District of Palm Beach County, please enter "00123456" below
Your answer
Date of Birth
*
Please enter in the following format: MM/DD/YYYY
Your answer
Home Address
*
Please Include City, State, and Zip Code
Your answer
Parent/Guardian Name(s)
*
Your answer
Primary Phone Number
*
Your answer
Cell Phone Number
*
Your answer
Parent Email Address
*
Your answer
(Check if Applicable)
504
ELL (ESOL)
EP (Gifted)
IEP
Current or Last School (2020-2021)
Your answer
** You may only submit one course selection form **
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