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Get C: My Files Tt 7-26-06 Form Iii .wpd - Doe In

To implement I.C. 20-26-11-2.5. Form III is to be used where the student s parents are divorced or separated but live in different public school corporations. Form III must be signed by the parent with physical custody or by the student if the student is eighteen (18) years of age and competent. Student Information Name: (last) (street) (city) (date of birth) Last school corporation attended: School corporation elected: Parent Information Mother: Name: (last) (street) (city) (telephone) Fathe.

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