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9151 North Dixie Drive Dayton, OH 45414 ×937× 8909606 20122013 PLEASE FILL OUT AND TURN IN WITH $20 NONREFUNDABLE REGISTRATION FEE Students Name Address City Zip Phone Number Date of Birth Age Email
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Start by writing your full name in the appropriate field. Make sure to use your legal name.
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The city comes next. In this case, you would write the name of the city where 9151 North Dixie Drive is located.
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