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Get Nd South Heart Public School District 9 Registration Form 2013-2024

Ate to begin at South Heart: Grade: Month, Day, Year Birth Date: Gender: Hispanic or Latino Yes (please circle) F No American Indian or Alaska Native Black or African American Native Hawaiian/Other Pac Islander Asian White (Check one if applicable) Special Services: Current IEP (Individualized Education Plan) Title I Services 504 Plan Home Address: Foster Home: Yes City, State, ZIP: Primary Phone #: Resident School District: Bus Route (if needed): Yes If residing in a differ.

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