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Parent Information Sheet
Child's First Name
Child's Last Name
Parents/Guardians
Mother's First Name
Mother's Last Name
Father's First Name
Father's Last Name
Address
Mother’s cell
Father's cell
Mother's Email
Father's Email
Preferred Contact
Emergency Contact
Emergency Contact
Relationship
Relationship
Does your child have any allergies?
*
Yes
No
If so, please describe
What are your academic goals for your child?
What are your child’s interest?
Submit
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