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Elementary Registration Form

Please Fill Out The Form Below








(Optional)
Gender:




Additional Races:






Student Physical/911 Address




Min: 1 Max: 5


Student Mailing Address




Min: 1 Max: 5



PARENT/GUARDIAN #1





Mailing Address:




Min: 1 Max: 5








PARENT/GUARDIAN #2





Mailing Address:




Min: 1 Max: 5







Student Primarily Resides With:
















If this child resides in a household with an active or reserve member of a branch of the United States Armed Services, please select the branch below.




ADDITIONAL GUARDIAN/CONTACT






Mailing Address:




Min: 1 Max: 5





































If a person's name is NOT on this list they WILL NOT be allowed to check your child out of school.



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Required Fields