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About the Student
Name
First
Middle
Last
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Sr
II
III
IV
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Preferred Name
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Current Grade
Preschool
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Third Grade
Fourth Grade
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Interested in Grade
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Kindergarten
First Grade
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Fifth Grade
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Interested In
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For the Fall of
2025-2026
2026-2027
About the Parent/Guardian
Name
Mr.
Mrs.
Ms.
Miss
Dr.
Prof.
Rev.
Hon.
Title
First
Middle
Last
Jr
Sr
II
III
IV
Suffix
Preferred Name
Relationship to Student
Mother
Father
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Guardian
Primary Phone (xxx-xxx-xxxx)
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