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If you have additional questions contact Julie McRae at 720-972-7107. ADAMS 12 FIVE STAR SCHOOLS APPLICATION FOR HOMEBOUND EDUCATION TO BE COMPLETED BY PARENT/GUARDIAN Date Name of Student DOB Gender Home School Ethnicity Grade Age Primary Language Name of Parent/Guardian Address/City/State/Zip Home Phone Alternate Phone Contact Parent/Guardian Email Address REQUEST TO RELEASE OR SECURE CONFIDENTIAL INFORMATION RECORDS TO BE RELEASED OR SECURED M....
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