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* Indicates required question
Parent 1
[P1] First Name
*
Your answer
[P1] Last Name
*
Your answer
[P1] Home Phone
Your answer
[P1] Cell Phone
Your answer
[P1] Newsletters
*
Yes, include me in email blasts and newsletters.
No, please do not include me.
Can we include your email address in blasts/newslettters?
Yes, include me in email blasts and newsletters.
No, please do not include me.
Can we include your email address in blasts/newslettters?
Additional Information
English
Spanish
Cantonese
Chinese
Mandarin
Russian
Arabic
Vietnamese
Tagalog
Nepali
Other (Not Listed)
[P1] What language(s) do you speak in your home?
English
Spanish
Cantonese
Chinese
Mandarin
Russian
Arabic
Vietnamese
Tagalog
Nepali
Other (Not Listed)
[P1] What language(s) do you speak in your home?
Yes
No
[P1] Can you help with translation services?
Yes
No
[P1] Can you help with translation services?
Clear selection
Would you like to add another parent/legal guardian?
Yes, Add another parent/legal guardian
No, skip to entering Children
Clear selection
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