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Get Enrollment Form Sample

T s Middle Name Birth Date (mm/dd/yy) Primary Phone Cell City/State/Zip Mailing Address if Different from Primary Address Home City of Birth AND State or Country of Birth: City/Sate/Zip First date in U.S. school, if born outside of the United States Student Social Security Number: *Highest Education Level in Student s Primary Home Has your child ever been enrolled in or enrolled but never attended a PUSD Y N school? Race Codes: 10 White 20 American Indian or Alaska.

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