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Enrollment Waiting List Request Form
Student Information
Student's Name
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Student's Gender
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boy
girl
Student's Birthdate
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Options
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Full-Time
Part-Time
Combination Full/Part-Time
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Returning Student
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Yes
No
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Guardian Contact Information
Parent/Guardian's Name
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Relationship
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Mother
Father
Grandmother
Grandfather
Aunt
Uncle
Legal Guardian
Other Relative
Other Guardian
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Telephone Number
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Cell Phone Number
Email Address
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Questions/Comments
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