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2022-2023 UPK Application
Universal Pre-Kindergarten
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* Indicates required question
Student's LAST Name:
*
Your answer
Student's FIRST Name:
*
Your answer
Student's MIDDLE Name:
Your answer
Student is:
*
Male
Female
Student's Date of Birth:
*
MM
/
DD
/
YYYY
Student's Birthplace:
*
Your answer
Ethnicity:
*
Hispanic/Latino (person of Cuban, Mexican, Puerto Rican, Central or South American or other Spanish culture or origin, regardless of race)
Non-Hispanic/Latino
Race: (please choose any that apply)
*
American Indian or Alaskan Native
Asian
Native Hawaiian or Other Pacific Islander
Black
White
Required
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