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NAME___STUDENT#___GRADE___DATE___ (Last, First, Middle)(Required)LA QUINTA HIGH SCHOOL STUDENTREFERRAL TO:___ASSISTANTPRINCIPAL___TO:___COUNSELOR______Cheating ___Defianceorthreat(quote) ___Disrespectful(quote) ___Profanityorvulgarity(quote) ___Destructionofproperty ___Tobacco,
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