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Get Student Registration Form - Renfrew County Catholic ...

Name Age as of Dec. 31 (if different from above) Home Address: (911 Address) Female Male Date of Birth: YYYY MM Number / Street Name Unit # City Prov. Postal Code Municipality Tel. No. Number / Street Name Mailing Address: (if different from Home) Unit # City Prov. Postal Code Municipality Tel. No. Sibling(s) in School: Ye s MEDICAL INFORMATION First Name Surname Preferred Name: No 1. Surname First Name Grade / School 2. Surname First Name Grade / School 3. Sur.

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