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CHSTV STUDENT/PARENT INFORMATION
2020-2021 SEASON
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Student Name:
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Student Grade:
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Student Cell #:
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Student Email Address:
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Home Address (street):
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Home Address (City/State/Zip Code):
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Parent Name:
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Parent Cell #:
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Parent Email Address:
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Parent Home Address (Street):
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Home Address (City/State/Zip Code:
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Parent Landline Phone Number:
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Alternate Parent Name:
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Alternate Parent Cell Phone #:
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Alternate Parent Email Address #:
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