Year
of Your Class____________________ Name at HHS (F-M-L)__________________ Present Name _________________ Mailing Address__________________________ City-State-Zip Code__________________________________ Home Phone________________ Cell Phone_______________ Birthdate (YYYY-MM-DD)__________ Email Address_____________________ Verify Email Address___________________________ Who will always know how to reach you? (Name, Phone & Email) ___________________________________________________________________
Best
of the Best, Favorite Kewpie Teachers
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