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` " 1982 SUMMER REGISTKATION FORM <br />Student's Name <br /> (Last) (First) (Middle Initial). <br />Address <br />(Number) (Street) (City) (ZiP) <br />Home Phone Father's Work No. Mother's-Work No. <br />Birth Date Male ____ Female _.. Special Health Condition <br />Parent or Guardian's Name <br />1981-82 School Attended <br />What school will the student attend during the 82-83 school year? Grade <br />`nurse: Fee: <br />~hool: PLEASE INGLUDI~ ALL FEES ;AT TAE 'DIME OF <br /> REGISTRATION <br />Session or Time: Make checks payable to <br />.Bus Pass Desired Fee: $29.OU , . ~~~,, l~!`I;RTCT 62~,, <br />s i 5v. ~l~tt;§wmu:,4:F <br />Student's Name <br /> (Last) (First) (Middle Initial) <br />Address <br />(Number) (Street) (City) (Zip) <br />Home Phone Father's Work No. Mother's Work No. <br />Birth Date Male _ Female ~., Special Health Condition <br />~ent or Guardian's Name <br />1981-82 School Attended <br />What school will the student attend during the 82-83 school year? ~ Grade <br />Course: Fee: <br />School: PLEASE INCLUDE ALL <FEES~• ,AT THE TIll1E OF <br /> REGISTRATION , <br />Session or Time: <br />Make checks payable to <br />Bus Pass Desired Fee: $29.Q0 „~~ ,` e~~Q.Q~. ~#`J'~,~~`j`.~,~ ~ . .~,.M~~:a~,~~i:~~ <br />Student's Name <br /> (Last) (First) (Middle Initial) <br />Address <br />(Number) (Street) (City) (Zip) <br />Home Phone Father's Work No. Mother's Work No. <br />Birth llate Male _ Female __.. Special. Health Condition <br />Parent or Guardian's Name <br />1981-82 School Attended <br />What school will the student attend during the 82-83 school year? <br />Grade <br />nurse: Fee: <br />~ School: PLEASE INCLUDE ALL FEES AT THE TIME OF <br />REGISTRATION <br />Session or Time: <br />Make checks payable to <br />Bus Pass Desired Fee: $29.00 ~C~!~~.+ ~TR~GT 62~,,, _ , <br />