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SchoolBasedHealthCenter 20172018Enrollment&ConsentForm StudentInformation Name: Birthdate: Gender: Address: City: COSIP: CellPhoneNumber: Email: Ethnicity:Hispanic/LatinoRace:NativeAmericanSchool:THSNameofRegularClinic:BTECNotHispanic/Latino
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How to fill out 20172018enrollmentampconsentform

01
Read the enrollment and consent form carefully.
02
Understand the instructions and requirements mentioned in the form.
03
Fill in your personal details such as name, address, contact information, etc.
04
Provide information about your family and emergency contacts.
05
Specify the desired academic year (2017-2018) for enrollment.
06
Indicate your consent for participating in any activities mentioned in the form.
07
Sign and date the form at the designated place.
08
Review the filled form and ensure all information is accurate.
09
Submit the completed form as per the instructions provided.

Who needs 20172018enrollmentampconsentform?

01
Any individual who wishes to enroll for the academic year 2017-2018.
02
Parents or legal guardians who need to enroll their child/ward for the mentioned academic year.
03
Students transitioning to a new educational institution or program for the specified year.
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It is a form used for enrollment and consent purposes for the year 2017-2018.
All individuals or entities participating in the enrollment process for the specified year are required to file the form.
The form can be filled out by providing the requested information accurately and signing the consent section.
The purpose of the form is to gather necessary enrollment information and receive consent for participation.
The form may require personal details, contact information, enrollment preferences, and consent signatures.
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