*Weekly emails from teachers will be sent to the email address(es) listed.* If listing more than one email address, please separate by using a comma. (ex: joe@email.com, jane@email.com)
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Mother Preferred Phone Number *
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Mother's Alternate Phone Number (in case of emergency or if you cannot be reached at preferred number)
Your answer
Father/Guardian Name
Your answer
Father's preferred Email Address
*Weekly emails from teachers will be sent to the email address(es) listed.* If listing more than one email address, please separate by using a comma. (ex: joe@email.com, jane@email.com)
Your answer
Father's Preferred Phone Number
Your answer
Father's Alternate Phone Number (in case of emergency or if you cannot be reached at preferred number)
Your answer
If you have any additional information you would like to share with the team, please enter it here.
Your answer
Student lives with: *
Does student have a working computer at home? *
Required
Does student have internet access at home? *
Required
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