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Student Registration 21-22
Student registration form for school year 21-22. ONE FORM REQUIRED FOR EACH STUDENT.
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* Indicates required question
Email
*
Your email
Student's Legal First Name
*
Your answer
Student's Legal Last Name
*
Your answer
Student Gender
*
Female
Male
Student Grade for 21-22 School Year
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Required
Student Date of Birth
*
MM
/
DD
/
YYYY
Parent/Guardian Names
*
Enter each parent and/or guardian. Include first and last name. Separate each person with a comma.
Your answer
Home Phone
*
Your answer
Parent/Legal Guardian 1 Cell Phone Number
*
Your answer
Parent/Legal Guardian 1 Work Phone Number
*
Your answer
Parent/Legal Guardian 2 Cell Phone Number (Optional)
Your answer
Parent/Legal Guardian 2 Work Phone Number (Optional)
Your answer
Emergency Contact 1 (Required)
*
Must be different than Parent/Legal Guardian 1 and 2. Must list at least one emergency contact. List name, relationship to student, and phone number.
Your answer
Emergency Contact 2 (Optional)
Must be different than Parent/Legal Guardian 1 and 2. Must list at least one emergency contact. List name, relationship to student, and phone number.
Your answer
Emergency Contact 3 (Optional)
Must be different than Parent/Legal Guardian 1 and 2. Must list at least one emergency contact. List name, relationship to student, and phone number.
Your answer
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