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VIDUALLY OR IN GROUPS. WEER I NO (261 SODIUM MUORIOt: • ur run vn PWNW An IN THE SODIUM FLUORIDE PROGRAM WM NO EFTA01709936 BACK TRICE or PALM BEACH COUNTY - NEW/RETURNING STUDENTS REGISTRATION DOI STUD [If 4(1 WEE WITH ICKES& I OOHS PARENTS 0 MOTHER 9 TAHITI. 0 SHARED CUSTODY . 7; OTHER • WI T
V (IS) NAME OF SCHOOL TRANSFERRING FROM (20) CITY OR LOCATION (21) LAST ArrEiroANCE DATE (22) LAST GRADE LEVEL (23) LAST PUSUC SCHOOL ATTENDED IN PALM BEACHCOUNTY (24) DATE ATTENDED IN PBC MW4PAggN14041a0AVAlticiN , FREE OR REDUCED (25) Students will receive non-invasive heath screenings pursuant to Florid
RITY NO.PAPLOneg (I) HOME TELEPHONE NO. (10) S 1 F (I1) RACErETNNIC ORIGIN 0 I-American Indian/Alaskan 0 A-Asian/Pacific Islander W . Native 0 B-Black, Non-Hispanic 0 H-Hispanic 0 NI-Multiracial • W-VVhite, Non-HiSpanic (12) DATE OF BIRTH M TMARDCWYY (13t PLACE OF BIRTH (c4 stab. couphy) WEST
DEACIE I L I 4)9$ DO SOMETHING - VOTE I Ind ul US. POMACE LAID VArM Palm Rennel %JOANN 164 RETURN SERVICE REQUESTED VOTER IDENTIRCATI0N PAl FA BEACH COUNTY. FLORIDA AIMMItAllOviamER INOTTUSIOROMT OSiI0/01 ROYAL IMACSICI 0 A 14 YOURPRECINCT ImeARER YOUR OOLONG LOCATION IS, PRESENT 1111$ CARO AT Y
name) (apt. no) (ulY) (stale) MP 0,(0!) BO SOCIAL SECURITY NO. Toptrone0 (9) HOME TELEPHONE NO. (10) F 1 (11)RACFJETHMC ORIGIN y • Native 0 B-Black, Non-Hispanic 0 H-Hispanic 0 W-White, Non-Hispanic 0 M-Multiracial I-American Indian/Alaskan • A-Asian/Pacific Islander (12) DATE OF MTH (leAUDD
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
(ophone0 (9) HOME TELEPHONE NO. (12) DATE Of MTH (13) MACE OF BIRTH (city, LS ceneery) (11MAXWYYY) (1C) SE:1 F (11) RACE/Ell-RICORIGIN Native 0 B-Black, Non-Hispanic 0 W-White, Non-Hispanic • I-American Indian/Alaskan • H-Hispanic 0 A-Asian/Pacific Islander 0 M-Multiraclal (14) 0 RESIDENT STA
Entities connected to both Palm Beach County and B-Black
Leon Black
PERSON
George W. Bush
PERSON
United States
LOCATION
Ghislaine Maxwell
PERSONDoug Band
PERSON
Joi Ito
PERSON
Jane Fonda
PERSON
Vince Foster
PERSON
Medicaid
ORGANIZATION
Earth
LOCATIONLegal Authority
ORGANIZATIONThe National Percentile Rank
ORGANIZATIONCoast Guard
ORGANIZATIONSunshine State
LOCATIONComplete Part C
PERSONChemical
ORGANIZATIONPalm Beach County School
LOCATIONSSS Reading, Mathematics
ORGANIZATIONCertificates of Achievement
ORGANIZATIONInforme sobre el FCAT
ORGANIZATION