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8th Grade KA Registration
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Student Applicant Last Name
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Student Applicant First Name
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Date of Birth
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Student Gender
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Address
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City
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Zip Code
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Phone (Home/Primary):
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Phone (Work):
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Phone (Cell):
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Name(s) of other applicants from this family
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E-mail Address
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Do you reside in the Appleton Area School District?
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