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Student Information
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* Indicates required question
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Street Address (including Apt, City, State, Zip)
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Prefer not to say
Other:
First Parent or Guardian's Name(s)
*
Your answer
First Parent/Guardian Email
*
Your answer
First Parent/Guardian Cell Phone
*
Your answer
Home Telephone
*
Your answer
Second Parent or Guardian's Name(s)
Your answer
Second Parent/Guardian Email
Your answer
Second Parent/Guardian Cell Phone
Your answer
Student Email
*
Your answer
Grade in 2019-2020
*
8th
9th
10th
11th
Will your child be new to HM in the Fall 2020?
*
Yes
No
Current School 2019-2020
*
Please type the name of your current school if not Horace Mann School
Horace Mann School
Other:
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