2020-2021 School Registration Forms
Notes before beginning packet:

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*You will need to submit a form for EACH student.

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Your child is: *
Student's FIRST Name *
Student's LAST Name *
Student's Date of Birth *
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Student's Place of Birth (City, State) *
PHYSICAL Address *
MAILING Address *
MOTHER'S Name (First and Last) *
MOTHER'S Phone Number *
MOTHER'S Address *
MOTHER'S Employment *
MOTHER'S Email Address *
FATHER'S Name (First and Last) *
FATHER'S Phone Number *
FATHER'S Address *
FATHER'S Employment *
FATHER'S Email Address *
Student lives with: *
Is there custody paperwork for the child? *
Is the student in the custody or care of Child Protective Services? *
Has a parent/guardian ever been incarcerated during the student's lifetime? *
Name of Emergency Contact #1 (In the event that we cannot reach parent/guardian.  Please list someone other than parent/guardian.) *
Emergency Contact #1: Relation to Student (ex. Aunt, Neighbor, Grandfather, Family Friend...) *
Phone Number of Emergency Contact #1 *
Name of Emergency Contact #2 (In the event that we cannot reach parent/guardian.  Please list someone other than parent/guardian.) *
Emergency Contact #2:  Relation to Student (ex. Aunt, Neighbor, Grandfather, Family Friend...) *
Phone Number of Emergency Contact #2 *
2020-2021 Grade Level *
2020-2021 Campus *
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