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Prospective Parents Evening November 4, 2014
Thank you for your interest in our Prospective Parents Evening. Please complete the following information:
Parent/Guardian Information:
Parent/Guardian First Name
*
Parent/Guardian Last Name
*
How Did You Hear of Us?
Congo Camp
Congressional Family/Staff
Drive By
Educational Consultant
Friends/Neighbors
Online Search
School Bus
Magazine/Newspaper Ad
Other
Parent/Guardian First Name
Parent/Guardian Last Name
Street Address
*
City
*
State & Zip
*
Home Phone
*
Cell Phone
Email:
*
Student Information:
1st Student
First Name
*
Last Name
*
Birth Date
*
Current School
*
Current Grade
*
Grade Applying For
2nd Student
First Name
Last Name
Birth Date
Current School
Current Grade
Grade Applying For
3rd Student
First Name
Last Name
Birth Date
Current School
Current Grade
Grade Applying For
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