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ENT EVER: I MEN EXPELLED /NOM SCAM? 2 hAD AN ARREST MSATERG IN A VOW 3 PAO ANT ,NPRIIII1 ADM( ACTIGNIT O EFTA01710365 HE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEM/RETURNING STUDENTS REGISTRATION BACK STUDENT S WI 'N (CHECK ONE) OTN PARENTS 0 MOTHER n FATHER ll SEARED CUSTODY U OTHER UV NSIOR'ED
t/Guardian notification: Yes, my child will attend summer school No, m child will NOT attend s cc: Student Cumulative Record EFTA01710434 PALM BRACH COCNTY PUBLIC SCHOOLS Elementary Interim Report of Unsatisfactory Progress 4 School: 2 Crads: 2? To the parent or guardian of This report is to advi
GRACE BIRTH DATE 154) NAME OF GILD SCHOOL ATTENDING STUCENT NO (OPTIONAL) GRACE BIRTH DATE (55) NAME OF CHID SCHOOL AT HEADING STUCENT NO. (OPTIONAL) GRACE SIREN DATE ISO) I VERIFY THAT THE INFORMATION GIVEN IS TRUE AND ACCURATE TO THE BEST CF MT KNOWLEDGE. SIGNATURE OF PARENT OR AGE( GjAROIA
HOUSING. PROPERTY RENT HOUSING SERVICES OF ouTr Li COAST I LOCATED LOCATED THE UNITED YES GUAR) IN PAI. IN STATES I I FE ACH [MATT PALM BEACH COUNTY_ NO MMINES I NATIONAL GUARD I NAY( UV HAS THIS CHILD BEEN ENROLLED NI ANY PRESCHOOL? C. CHAPTER I D. PRE-K DISABILITIES 0 E. PRE-A EARLY I
IST YOLR DOW'S ILLNESSES. A.LERGiEs OR OTHER PHYSICAL LMITATIONS YOUR CHILDREN IN OTHER CHOOLS: :Ill NAME OF CHILD SCHOOL ATTENDING STUDENT NO. (OPTIONAL) GRADE OATH DATE tl 4IN — STUDENT NO. (OPTIONAL) GRADE 1531 NAME OF CHILD SCNOOI ATTENOING STUDENT NO. (OPTIONAL) GRADE BRIM DAVE 1641 NA
ON .OW RENT SERVICES ACTIVE MITT? ARMY PROPERTY LOCATED HOUSING LOCATED OF TIE UNITED 0 YES 0 COAST GUARD IN IN 0 PALM BEACH COUNT/. PALM BEAN COUNTY. STATES. MO N MARINES 0 NATIONAL GUARD ll NAVY 1 41 HAS THIS OHIO REIN ENROLLED IN AN PRY srannt, C. CHAPTER I I C. PREK DISABILITIES 9
(4, GUn IVG ADDRESS .C./.1 he mar MAW( a, , ',We 41;ar orES Vrilt, 4• Ml s., 4. cn, sr *Tr t, car rrAW isi metiers SOCIAL SECURITY NO. (OPTIONAL) 161 HOME >HONE N0. il) I remAte 3 SEX F MALE (8) . e I RACE AMERICAN INNAN OP ALASKAN NATIvE. B ' NON-HISPANIC D A ttl iCti:IC I
MED SERVICES ON ACTIVE DUTY? I ARMY PROPERTY HOUSING OF I COAST . LOCATED IN LOCATED IN THE UNITED I YES I GUARD PALM BEACH COUNTY. PALIA BEACH COUNTY. STATES. NO I MARINES I NATIONAL GUARD I NAVY (Ill (AS THIS CHILD BEEN ENROLLED IN ANY PRESCHOOL? 0 C. CHAPTER I I D. PO-ii DISABILITIE
latME mom metiats Piet LOW' roCILS MINUS WPC (3d) .t,, RICHEST LEVEL OF EDUCATION COMPLETED . 11011INTART SCLIC.CK WA= B sc'-`7.'"`Usr. * (OPTIONAL) c O. SCICOOL O 0.;is 0-IIII LIMADUATO N TIONitLawalcri 1371 HIGHEST LEVEL OF EDUCATION COMPLETED AO it"*-7:1';,"' B SONS POST•SIMONOMY E (OP
when is row( e Sena and the cost & my :hols education is occupied as ny residence. provded in part Dr Melly by Federal subsidy. J H Pad fee in Palm Beam County as velsec by Q C Have filed a mailestation cf domicile in lbs wave OF Am a migratory agricultural worker. Montt _.. _ J I Exempt (25) ENTRY C
tit C--k--- , n . KM.' IA Ia' AAA( a, .., WEST PALM BEACH FL 33413 nt . Ltett 1... (SI STUCENTS SOCIAL SEE UM TT NO. 161 HOME PHONE NJ. (OPTIONAL) 0/ SLR F 0 „tome IlD R CE V 0 INDIANC" 0 A ASIAN psLANorq 9 W Zia rr-LISPANIC I MALI I g oNt....e_nmspaic 9 H HISPANIC 0 M I
lor, religion. national origin, disability, age, sexual orientation. marital status, or gender identity or expression. Services are funded through Palm Beach County Board of County Commissioners with grants from the Office of the Attorney General and Florida Council Against Sexual Violence. Palm Beach County Board
ULD YOU MEAL. CCRRESPCNDENCE NT BY EMAIL? ISSYES El NO STATE ft— cote 35401 INS INFORMATION IS COLLECTED FOR FEDERAL REPORTING PURPOSES AND IS OPTIONAL FLAMETHINICrY: rIAMERICAN WM ❑ASIAN I—I 8LACKA ICAN❑ HISPANIC 0 "ALASKANATIVE L--IAMEHRAN LJ LANNC GENDER ine Fec, The applicant filing on beh
Entities connected to both Palm Beach County and OPTIONAL

Jeffrey Epstein
PERSONLeon Black
PERSON
Alexander Acosta
PERSON
George W. Bush
PERSON
Alan Dershowitz
PERSON
United States
LOCATION
Kenneth Marra
PERSON
Palm Beach
LOCATION
Department of Justice
ORGANIZATION
Ghislaine Maxwell
PERSONFBI
ORGANIZATION
Prince Andrew
PERSON
West Palm Beach
LOCATION
Donald Trump
PERSON
Barry Diller
PERSON
Scarlett Johansson
PERSON
Marc Rich
PERSON
New York
LOCATION
Julie K. Brown
PERSON
Alfredo Rodriguez
PERSON