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PROGRAMS Please check if apply CITRUS HILLS INTERMEDIATE REGISTRATION FORM 2016-2017 EL SPED IEP ADAPTIVE PE PLEASE COMPLETE EACH SECTION BELOW BY PRINTING IN BLUE OR BLACK PEN. CONTACT INFORMATION STUDENT NAME STUDENT ID STREET ADDRESS ZIP CODE CONTACT NAME DAYTIME PHONE PARENT CELL CORE CURRICULUM ELIGIBILITY VERIFICATION School Use Only Place an X in the box under your selection choice for each subject area. CORE SUBJECT AREA REGULAR LANGUAGE ARTS HISTORY SCIENCE MATH Regular PRE-AP or...
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