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Student Contact Information Form
Parents, please fill out this form. You may resubmit throughout the year if there is any updates to important information. Thank you!
Parents - PLEASE sign up for my REMIND 101 - text @mrslara210 to 81010
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Who will be filling out this form?
*
By completing and submitting this form you agree that the information is correct and that this form is being filled out by an adult.
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Student's Full Name
*
Your answer
Student's Date of Birth
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MM
/
DD
/
YYYY
Student's Home Address
*
North Bergen, NJ 07047
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Student's Home Phone Number
*
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Additional Student Information (if needed; example - allergies, behavior, etc...)
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