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Editing previous response:
STUDENT INFORMATION
Residence Address
Mailing Address (if different than Residence Address)
Name of Parent/Guardian Student Lives with:
(Parent who lives in different household)
EMERGENCY INFORMATION
List two local persons (other than yourself) usually available during the school day who have agreed to care for and provide transportation for your student if he/she becomes ill or injured and you cannot be reached. We attempt to contact parents first.