Epstein Secrets

ne only) te Both Parents 0 Mother 0 Father 0 Foster 0 Group Home 0 Student is ward of the state Ot

been arrested resulting in a charge. of applicable 10. AInd with whom the student lives (check one only) te Both Parents 0 Mother 0 Father 0 Foster 0 Group Home 0 Student is ward of the state Other 11. IMPORTANT, EVERYONE MUST ANSWER THIS QUESTION. A. Is there a visitation order or other court

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

(check one) 0 Mother 0 Father 0 Both Parents 0 Foster 0 Group Home (31) CUSTODY STATUS OF STUDENT (aec

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

WITH: (chock ro D Mother 0 Father oth Parents 0 Foster 0 Group Home 0 Other ' (31) CUSTODY STATUS OF

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

(check one) 0 Mother 0 Father 0 Both Parents 0 Foster 0 Group Home 0 Other (31) CUSTODY STATUS OF STU

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