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Step
1
of
3
- Parent / Guardian Information
33%
Parent/Guardian Name
(Required)
First
Last
Relationship to Student
(Required)
Mother
Father
Stepmother
Stepfather
Guardian
Grandmother
Grandfather
Aunt
Uncle
Sister
Brother
Cousin
Foster Parent
Legal Guardian
Other Relative
Family Friend
Neighbor
Babysitter/Nanny
Teacher/School Staff
Caseworker
Email
(Required)
Phone
(Required)
Emergency Contacts
(Required)
Name
Relationship to Student
Phone Number
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Minimum of 1
Primary Student Name
(Required)
First
Last
Date of Birth
(Required)
Month
Month
1
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Day
Day
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Year
Year
2026
2025
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1925
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1923
1922
1921
1920
Student Age
(Required)
Grade Level
(Required)
1st
2nd
3rd
4th
5th
Product Name
Price:
Do you have siblings to add?
(Required)
Yes
No
Siblings information
Student Name
Date of Birth
Student Age
Grade Level
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Price
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$100.00
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