Student Information
Please fill out all fields to ensure we have accuracy for registration next year.
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Student Name *
Date of Birth
MM
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DD
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YYYY
Place of Birth
What is your current mailing address? *
What is your child's gender?
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Who are the child's parents? *
Please list your phone numbers below, with type (cell, home, work) and who the phone belongs to (Mom, Dad, child). *
What PRE grade will your student be for 2020-21? *
Is this the student's grade in school? *
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