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I understand that falsification of information to achieve enrollment or assignment may be cause for revocation of the student s enrollment or assignment to a school in the Olympia School District. City State Zip BIRTHDATE ETHNIC CODE Are you Hispanic/Latino or not Hispanic/Latino qHispanic /Latino q Not Hispanic/Latino STUDENT LIVES WITH o Both parents o Father only o Legal Guardian o Self WITHDRAWAL DATE CHILDCARE PROVIDER Name Address o Before and after school ADDITIONAL CHILDCARE...
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