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Student Name:
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Contact Information:
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(F.S. 1008.386 requires SBBC to request this information for the student's permanent record)
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Ethnicity
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Birth date and place
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Has the student previously attended a:
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Has the student ever been
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Typing your name will represent your signature.
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The above information is correct and complete to the best of my knowledge. In the event of a change of name, address, or phone, I will notify school staff within ten (10) days. I understand that students whose parents are found, after appropiate investigation, to have submitted fraudulent information in an effort to enroll a student in a school to which the student is not assigned shall be inmediately withdrawn by the school and the parent must enroll the student in the appropiate boundaried school. Ihave read and understand the Providing Proof of Residence: Important Information for Parents (SBP.5.1) and understand that if I have provided fraudulent information, I may be referred to law enforcement for prosecution.
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