Bayshore Student Data Card 2021-2022
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Student's Last Name *
Student's First Name *
Birth Date *
MM
/
DD
/
YYYY
Grade Level for 2021-2022 School Year *
Required
Student's Home Address (Please include street, town, and zip code) *
Last School Attended *
Parent / Guardian Phone Number for Easiest Contact *
Parent / Guardian Email Address for Easiest Contact *
Father's Name *
Father Living or Deceased? *
Father's Address
Father's Business Phone
Mother's Name *
Mother Living or Deceased? *
Mother's Address
Mother's Business Phone
Step Father Name (If Applicable)
Step Mother Name (If Applicable)
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