Perry South Stark Career Academy Student Application for Enrollment

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Perry South Stark Career Academy Student Application for Enrollment

Identifying Information

* Indicates required question

Email *

Your email

First Name *

Your answer

Last Name *

Your answer

Street Number and Name *

Your answer

City *

Your answer

Zip Code *

Your answer

Parent Phone Number *

Your answer

Gender *

Male

Female

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Date of Birth *

MM

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DD

/

YYYY

Current Grade *

Choose

10th

11th

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