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2015
August
P
Parent Information
Parent Information
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Name:
Student's Name:
Relationship to Student:
Who else can we contact about this student:
*
First Name
:
*
Last Name
:
*
Phone
:
*
Email Address
:
How do you prefer to be contacted in a non-emergency situation?
Phone
Email
Written Note
Emergency Contact other than you:
*
First Name
:
*
Last Name
:
*
Phone
:
How will your student be traveling home?
bus
car
Other
What are some things your student is interested in?
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