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Student Registration Application
To register, please take the time to fill out the information below.
Child's First Name
Child's Last Name
Does this child have any medical conditions, physical limitations, allergies or special needs?
Choose an option
To better serveyour child, please indicate if he/she has been diagnosed with any of the following
Chronic Health Problems
Asthma/ Sever Allergies
If you selected other, list below.
If you have your child's immunization records, please upload
Upload supported file (Max 15MB)
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