Mr. Mathews' Student Info form

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Mr. Mathews' Student Info form

Student Info

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* Indicates required question

Student name (First and Last): *

Your answer

Preferred Name:

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Gender

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Grade *

Freshman

Sophomore

Junior

Senior

Block? *

Math 4 Block 2

Math 4 Block 3

Math 4 Block 4

Student email address *

Your answer

Who does the student live with? *

Your answer

Address *

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Home phone

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Parent/Guardian 1 *

Your answer

Parent email address *

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Parent phone number *

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Parent/Guardian 2

Your answer

Parent email address

Your answer

Parent phone number

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