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Student Information
Please submit information regarding your interest in Middletown Area School District's Raider Academy Online Learning Program
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Student First Name
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Student Last Name
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Building
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Fink Elementary School
Reid Elementary School
Kunkel Elementary School
Middletown Area Middle School
Middletown Area High School
Grade Level
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Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Street Address
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City
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State
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Zip Code
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Parent First Name
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Parent Last Name
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Parent Email Address
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Phone Number
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Date of Birth
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Any other siblings interested in Raider Academy
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