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1
Student Information
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Student Name
Homeroom Teacher
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2
Enrollment Selection
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Yes, my child will attend Millennium Community School next year.
No, my child will NOT attend next year. Please give their seat to another family.
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3
Parent Signature
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Parent Signature
Date
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4
New Student Sibling Enrollment
I would like to enroll my student's siblings for the upcoming school year.
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No
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5
Student Name:
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DOB:
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Grade:
Student Name:
DOB:
Grade:
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