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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

F SCHOOL TRANSFERRING FROM (20) cm /STATE I COUNTY COUNTRY (21) LAST ATTENDANCE DATE (22) LAST GRADE LEVEL (23) Have you ever been enrolled in a Palm Beach County School? If yes, what school? 0 YES • NO (24) DATE ATTENDED N PBC All now and returning students compete the remaining form including page 2 12 NBR:1SS

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

CHOOL TRANSFERRING FROM (2[9 CITY! STATE /COUNTY COUNTRY . (21) LAST ATTENDANCE DATE (72) LAST GRACE LEVEL (23) Have you ever been enrolled in a Palm Beach County School? If yes, what school? • YES 0 NO (24)DATE ATTENDED 94 PSC All new and returning students compete the remaining form including page 2 p2si Studen

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

SCHOOL TRANSFERRING FROM (20) CITY /STATE icouNre COUNTRY (21) LAST ATTENDANCE DATE (22) LAST GRADE LEVEL (23) Have you ever been enrolled In a Palm Beach County School? 0 YES 0 NO If yes, what school? _ 200 DATE ATTENDED IN PBC All new and returning students compete the remaining form including page 2 (2s) Stud

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

E Cf SCHOOL TRANSFERRING FROM (20) WWI STATE I COUNTY =WRY (21) LAST ATTENDANCE DATE (22) LAST GRADE LEVEL (23) Have you ever been enrolled In a Palm Beach County School? DYES 0 NO If yes, what school? (21) DATE ATTENDED IN PBC All new and returning students compete the remaining form including page 2 rzsi Student