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Student's Demographic Information Yonatan Perez / Jonathan 03/05/1998 M F Student Name/ and nickname Date of Birth Sex (954) 300-5068 (954) 802-5809 N/A Student Cell Parent Cell Work Phone 410 SW 22nd AVE FORT LAUDERDALE, FL, 33312 Address City, ST ZIP Code Email Information Secondary Emergency Contact Trickyjohnny3000@gmail.com Lalisacalle214@gmail.com Student Email Parent Email Graduation/Race and Ethnicity/IEP Spring 2016 High School Graduation Date Phone Number Yes, Hispanic and latino White Are you Hispanic or Latino? What is your race? No, I don't Do you have an IEP? N/A Please include any special situations I should know to help you succeed. Tell me one thing about you. Why are you taking the class? One thing about me: I don't want to brag, but I practically know how to do anything you can Date imagine on a computer. I am taking this class because, apart from computer technology, I also like Physical Education. Parent or guardian- What is your preferred way of monthly contact with your teacher? Yes to all or check beside the one you prefer Text Phone Call Email Please email this form to your child's teacher. You can find their email by going to your course and finding it on her announcement page. Please get started in your class right away! Your teachers are looking forward to working with you! Summer pace is 4 weeks for each segment.
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