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2019-2020 LUSD Band Enrollment Form
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Email
*
Your email
Additional Email (optional)
Your answer
Student Name (First and Last)
*
Your answer
Grade (2019-2020 School Year)
5th
6th
7th
8th
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Parent/Guardian #1 (Please Provide Name and Relationship to Student)
*
Your answer
Parent/Guardian #2 (Please Provide Name and Relationship to Student) (optional)
Your answer
Parent/Guardian #1 Phone Number
Your answer
Parent/Guardian #2 Phone Number (optional)
Your answer
School
*
Franklin Elementary
H. Clarke Powers Elementary
Loomis Basin Charter (7th and 8th Grade Only)
Loomis Grammar
Ophir STEAM Academy
Penryn Elementary
Placer Elementary
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