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SES Student Emergency Card
2023 - 2024 School Year
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* Indicates required question
Email
*
Your email
Student's Grade Level
*
Choose
2
3
4
5
Student LAST Name
*
Your answer
Student FIRST Name
*
Your answer
Student MIDDLE Name
Your answer
Primary Home Phone Number
*
Your answer
Student's MAILING Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Student's PHYSICAL Street Address (leave blank if same as Mailing Address)
Your answer
Location of Address (For Busing Information)
Your answer
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