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Scholar Information

Scholar's First Name*

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Scholar's Last Name*

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Scholar Date of Birth (Month/Day/Year)*

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Scholar cell phone number (share this only if you want the child to receive school text announcements on their phone).

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Parent/Guardian One

Parent/Guardian One Full Name*

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Parent/Guardian Phone Number for Phone Calls*

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Parent/Guardian Phone Number for Text Messages*

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Parent/Guardian Email Address*

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Home Address for Parent/Guardian One

Street Address*

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City*

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Zip/Postal*

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Parent/Guardian Two

Parent/Guardian Two Phone Number for Phone Calls

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Parent/Guardian Two Phone Number for Text Messages

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Parent/Guardian Two Email Address

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Home Address for Parent/Guardian Two

Street Address

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City

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Zip/Postal

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Technology Questions

Do you have reliable internet access at home?*

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Yes

What technology needs does your child still have?

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Questions and Comments

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