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1.	First Name*

2.	Last Name*

3.	Phone Number*

4.	Email Address*

5.	Grade Student is Entering*
	--Please Select--7th8th9th10th11th12th

6.	Parent/Guardian Name(s) (First/Last)*

7.	Parent/Guardian email & phone number, if not same as above listed.

8.	Does your child currently have a sibling attending CHOICE?*
	Does your child currently have a sibling attending CHOICE?* Yes No