Student Information Sheet
Please complete each question
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Grade level *
Student Name? *
Last Name
Student Name? *
First Name
Parent(s) Name *
Give name and relation
Mailing Address *
Street address and zip code
Parent Email Address *
Student Email Address
Parent Phone Contact *
Give number and best hours to contact
Any allergies that I should be aware of?
If none, please leave blank.
Is student color blind?
(Boys only)
Clear selection
Do you have internet access after school? *
Choose one
Do you have a computer or tablet to view text book or type essays? *
Choose one
Do you have a printer? *
Choose one
Submit
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