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High Five Christian Academy
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Guardian Full Name
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Relation Between Guardian and Student
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Optional Second Guardian Full Name
Email
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Who's email is this?
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Guardian 1
Guardian 2
Other
Optional Second Email
Emergency Phone
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Who's phone is this?
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Guardian 1
Guardian 2
Other
Optional Emergency phone two
Optional emergency phone three
Expected financial status of guardians this semester.
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What semesters are you singing the student up for
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The ongoing semester
Next semester
The semester after that
Student Full Name
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Student Gender
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Student Birthday
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Year
Month
Day
Last Grade Student Completed
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Academic Level of Students Previous Work
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Semester style
(Required)
If student has ever failed an academic subject in school explain:
If student has ever been expelled, dismissed, suspended, or refused admission to another school, explain:
If student has ever had disciplinary difficulty at school explain:
If student has a juvenile or arrest record explain:
If student ever used tobacco or nonprescription drugs of any kind explain:
Guardian 1 Signature
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