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Re-enrollment Information
Please complete this form for each returning student.
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Student's name
*
Your answer
Grade
*
Your answer
Updated physical & mailing address (if necessary)
Your answer
Updated phone numbers (if necessary)
Your answer
Updated parent email address (if necessary)
Your answer
Updated emergency contact information (if necessary)
Your answer
Updated health information (if necessary)
Your answer
RESIDENCE: Where is the student currently living? (Federally mandated by NCLB, please check appropriate box.) **If different from prior year enrollment information.
In a single family permanent residence (house, apartment, condo, etc.)
In a motel/hotel
Doubled-Up (sharing housing due to economic hardship or loss)
Unsheltered (Car, Campsite)
In a shelter or transitional housing program
Other
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