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Schumacher Science's Class Registration 2019-2020
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Student Last Name
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Student First Name
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Student Period
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Period 1
Period 2
Period 3
Period 5
Period 6
Parent/Guardian Name
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Parent/Guardian Relationship to Student
Mother
Father
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Stepfather
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Parent/Guardian Email(s)
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Parent/Guardian Preferred Phone Number
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Student Email
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Is there anything I should know about your student and/or family? Please share as needed.
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