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DistrictCampus
CAMPUS

Registration Form

Fill Form out as completely as possible.
Please Fill Out The Registration Form Below




STUDENT'S FULL LEGAL NAME AS ON BIRTH CERTIFICATE, ADOPTION PAPERS, ETC.:


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Child's Contact Information:


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Min: 1 Max: 5
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Parent/Guardian Information

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Parent/Guardian 2 Address (if different than child's):


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Min: 1 Max: 5
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PEOPLE TO CONTACT IN CASE OF EMERGENCY:

Emergency Contact 1

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Emergency Contact 2

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Emergency Contact 3 (Optional)

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Other Important Information





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*By typing your name, you agree that this is valid as your signature.

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Required Fields