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Student Registration Questions
Student Registration Form
Liberty High School
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* Indicates required question
Parent/Guardian E-Mail Address
*
Your answer
Parent/Guardian Full Name
*
Your answer
Parent/Guardian Telephone #
*
Your answer
Additional Telephone #
*
Your answer
Do you have WhatsApp?
*
Yes
No
Other:
Do you prefer Text Messages or WhatsApp?
*
Text
WhatsApp
Student Last name
*
Your answer
Student First Name
*
Your answer
Gender
*
Male
Female
Prefer not to say
Other:
Student Birthday (Date of Birth)
*
MM
/
DD
/
YYYY
How old is the student (age)?
*
14
15
16
17
18
Other:
Required
Student ID Number (if available)
*
Yes
No
Other:
Name of the last school student attended
*
Your answer
Last grade completed
*
Your answer
Is this the first time you attend a school in NYC?
*
Yes
No
Are you transferring from a school in NYC?
*
Yes
No
What Country is the Student from?
*
Your answer
How long have you been in the country?
*
Your answer
Language Spoken by student
*
Spanish
French
Arabic
Chinese
Russian
Other:
Who referred you to our school?
*
Family Welcome Center (NYC Department of Education)
Other School
Friend or family
Website
Other
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