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AIS High School Enrollment Form
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Student First Name (Full/Legal First Name)
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Student Last Name (Full/Legal Last Name)
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Grade
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9
10
11
12
Gender
Male
Female
Birthdate
MM
/
DD
/
YYYY
Primary Phone Number (including area code)
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Home Address
Street Address (Street number and name)
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City
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Zipcode
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Student's Birthplace
Birth City
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Birth State
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Birth Zip Code
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Last School Attended
Last School Attended Name:
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Last School Attended City:
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Last School Attended State:
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Last School Attended Zip Code:
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Do you currently own or rent your home?
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