Student Information Sheet for Online Registration 2021-2022
This form must be accurately and truthfully filled out by parent or legal guardian. Failure to do so will render your child unofficially registered and will be asked not to return back to school until this matter is brought in compliance. The main office must be notified immediately with any changes.
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Date: *
MM
/
DD
/
YYYY
Student Name *
Student's Gender *
Grade Student will be attending *
Physical Address including street, city, state and zip code *
Mailing Address (if different than Physical) including street, city, state and zip code
Students Date of Birth *
MM
/
DD
/
YYYY
Phone Number *
Mother's Name
Father's Name
Guardian's Name
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