BASD- Update Information - 2019-2020
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Parent/Guardian #1 Name *
Parent/Guardian #1 relationship to child *
Parent/Guardian #1 Date of Birth (MM/DD/YYYY)
Parent/Guardian #1 Address - if different from student's address
Please include this address in school mailings
Clear selection
Parent/Guardian #1 Primary Phone Number
xxx-xxx-xxxx
Parent/Guardian #1 Day Phone Number
xxx-xxx-xxxx
Parent/Guardian #1 Employer
Are you full-time/active military? (not Reserve) (for Federal compliance reporting)
Clear selection
Parent/Guardian #1 E-Mail
Parent/Guardian #2 Name
Parent/Guardian #2 relationship to child
Parent/Guardian #2 Date of Birth (MM/DD/YYYY)
Parent/Guardian #2 Address - if different from student's address
Please include this address in school mailings
Clear selection
Parent/Guardian #2 Primary Phone Number
xxx-xxx-xxxx
Parent/Guardian #2 Day Phone Number
xxx-xxx-xxxx
Parent/Guardian #2 Employer
Are you full-time/active military? (not Reserve) (for Federal compliance reporting)
Clear selection
Parent/Guardian #2 E-Mail
Student resides with: *
Are there any custodial arrangements/court orders pertaining to this child *
If yes, please provide a copy of the court document that will be kept on file in the Principal's Office.
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