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Name
:
Student's Name
Preferred Parent/Guardian Contact
Preferred phone number
Preferred Email Address
Any other contact information that you would like to provide?
Does your child have access to a computer outside of school?
Yes
No
Does your child have access to a desktop, laptop, iPad, or other tablet? Please indicate which devices are accessible.
Does your child have access to the Internet outside of school?
Yes
No
Christilyn Page
Gray's Creek High School
Hope Mills, NC
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