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E Last MAILING ADDRESS First Street/PO Box Middle City State Zip E-MAIL ADDRESS HOME PHONE CELL PHONE DATE OF BIRTH GENDER MALE FEMALE CURRENT GRADE LEVEL WHAT SCHOOL DO YOU CURRENTLY ATTEND? WILL YOU ATTEND A DIFFERENT SCHOOL NEXT YEAR? NO YES IF YES, WHICH SCHOOL? HAVE YOU EVER ATTENDED A SUMMER PROGRAM AT METRO TECHNOLOGY CENTERS? YES NO EMERGENCY CONTACT INFORMATION PARENT/GUARDIAN DAYTIME PHONE ADDRESS CELL PHONE SECOND CONTACT DAYTIME.

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