Epstein Secrets

ns taken against him/her. 0 The student has arrested resulting in a charge. (30) STUDENT LIVES WITH: (check one) 0 Mother 0 Father 0 Both Parents 0 Foster 0 Group Home (31) CUSTODY STATUS OF STUDENT (aeck tee) 0 Mother 0 Father 0 Shared Custody E Other • Other CRS: SEC:OO1 BLDG:O3 RM:212 O6 11 O4 IMPORTANT

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

actions taken against him/her. DI The student has wrested resulting in a charge. (30) STUDENT LIVES WITH: (chock ro D Mother 0 Father oth Parents 0 Foster 0 Group Home 0 Other ' (31) CUSTODY STATUS OF S7111:Off (check one) 0 Mother K Father 0 Shared Custody 0 Other IMPORTANT INFORMATION - MUST BE COMPLETED t

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

hool. • The student has III The student has arrested resulting In a charge. (30) STUDENT LIVES WITH (check one) 0 Mother 0 Father 0 Both Parents 0 Foster 0 Group Home 0 Other (31) CUSTODY STATUS OF STUDENT (check one) 0 Mother 0 Father 0 Shared Custody 0 Other NBR:O23 STDT: CRS:21O46OO SEC:OO4 BLDG:O2 RM:2

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