East Elementary Club TIGER Enrollment Form

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East Elementary Club TIGER Enrollment Form

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Student Information

Student Last Name *

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Student First Name *

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Gender

Male

Female

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Race

African American

Asian

Hispanic

Multi-Racial

Native American/Eskimo

Native Hawaiian/Pacific Islander

White

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Physical Address *

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Grade *

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Fifth Grade

Date of Birth *

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Student ID

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Home School *

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East Elementary

Home Phone *

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