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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

e student resides on federal property. O O B. The student resides in low rent housing. O O C. The parent is employed on federal property located In P.B. County. O O D. The parent is employed on low rent housing located In P.B. County. O O E. The parent Is in the uniformed services of the United States. O

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

student resides on federal property. 2 /6 " • The student resides In low rent housing. 0 ' The parent is employed on federal property located in P.B. County. 0 The parent is employed on low rent housing located in P.B. County. 0 E. The parent Is In the uniformed services of the United States. 0 0 If E

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 student resides on federal property 0 0 B. The student resides n low rent housing U U C. The parent is employed on federal property located in P.B. County 0 3 D. The parent is employed on low rent housing located n P B. County 0 o E. The parent is in the uniformed services of the Unted States ic) NIC