Epstein Secrets

ted 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 Slates. O O If E. is YES, is the parent on active duty? Check service below: 0 Air Force O Army II Coast Guard MI Marines O National Guard O New (11

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

Beach County. 0 0 D. The parent Is employed on low rent housing located in Palm Beach County 0 • E. The parent is in the uniformed services of the United Slates. (i 6) PRESCHOOL ENROLLMENT INFORMATION Place an X by each program attended. Also, indicate with en asterisk (') the program your child was In the

adiness Program O Z. Not OS) Is the student a single parent? O YES O NO TRANSFER INFORMATION ("Para; 13e4ch Ft- (23) ave you ever een enrolled In Palm Beach County School? W YES O NO If yes, what school? (21) LAST ATTENDANCE DATE a - L4 - (21) DATE ATTENDED IN Pac HEALTH SCREENING INFORMATION (25 ) Students will

ocated 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) NICSCIOOL CulOL.NICNT iNrCRAJAMON pj Place an X by each program attended Als5 indicate with an asterisk C) the program you chid was in the lo

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