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West Side Registration Form
APPLICATION MUST BE FILLED OUT COMPLETELY AND ACCURATELY TO BE CONSIDERED FOR ACCEPTANCE INTO A PROGRAM.
* Indicates required question
Student ID# (Lunch Number):
*
Your answer
SASID#:
Your answer
Child's Name:
*
Your answer
Age:
Your answer
Grade:
*
Choose
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Address:
*
Your answer
City:
*
Your answer
Zip Code:
*
Your answer
Phone Number:
*
Your answer
Birthdate:
*
MM
/
DD
/
YYYY
Gender:
*
Female
Male
Other:
Ethnicity:
*
Asian
Native American
African American
Hispanic
Caucasian
Other:
Language Spoken at Home:
*
English
Spanish
Albanian
Other:
Does your child receive ELL support?
*
yes
no
Required
Is your child a special education student?
*
yes
no
Required
School:
*
Choose
Duggan Elementary School (Grades 1-5)
Hopeville Elementary School
Kingsbury Elementary School
Tinker Elementary School
Wallace Middle School
West Side Middle School
Wilson Elementary School
Homeroom Teacher:
*
Your answer
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