AES 20-21 1st - 4th Grade Pre-Registration
Please complete one for each student.  Thank you!
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Email *
Name of parent or guardian *
Name of student *
Physical address *
Mailing address
Complete if different from physical address
Phone number *
No dashes please!  Example: 4328377700
Birth date *
MM
/
DD
/
YYYY
Grade level for 20-21 school year *
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