School Student will attend for the 2022-2023 school year? *
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Students Date of Birth * *
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DD
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Parent/Guardian First and Last Name * *
Your answer
Home Address * *
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Parent/Guardian Telephone number * *
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Parent/Guardian Email Address * *
Your answer
My child will need to be picked up and dropped of on a daily basis by the school van at the Boys and Girls Club in Prescott Valley. (limited seating available) *
My child has permission to walk home after school. *
What grade will your child attend for the 2022-2023 School year? *
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