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K Early Intervention 0 C. Chapter 1 0 S. Subsidized Child Care 0 O. Other 0 0 If E. is YES, is the parent on active duty? Check service below: 0 Air Force 0 Anny 0 Coast Guard 0 Marines 0 National Guard 0 Navy (IntS DC STUDENT A SINGLE P 0 YES NO ( 8) CURRENT GRADE LEVEL . ey dfrc, • • / I9 NA
the school day? O YES .NO If YES, provide the school with a copy of the court order. - ' PBSD 0636 (REV. 4/6/2001) page 1 of 2 EFTA01709714 THE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEW AND RETURNING STUDENT REGISTRATION (36) FATHER OR LEGAL GUARDIAN 031st mkIdle Alia( Ms° (37 ADDRESS (SOW nomboS 7-4" 94 4:1311Tvnlixdpber) IIIIIII
rent is in the uniformed services of the United States. 0 Yes a No If "E" Is YES, Is the parent on active duty? 0 Yes 0 No (check service below) 0 Air Force 0 Army 0 Coast Guard 0 National Guard 0 Navy 0 Marines 2. Preschool Enrollment Information (Check each program attended. Indicate with an aste
dent during the school day? U YES Wil0 provide the sotto& with a copy of the court order. PBSD 0636 (REV. 02/04/2002) page t o12 EFTA01710055 THE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEW AND RETURNING STUDENT REGISTRATION v - ! -. an k C A- t STATE ZIP COCE pa d 6. FL d3V I1 On l0Jtii Palm STATE ZIP CODE PL 334 1 ' 0OCU
K Early Intervention 0 C. Chapter 1 0 S. Subsidized Child Care 0 O. Other 0 0 If E. is YES, is the parent on active duty? Check service below: 0 Air Force • Army 0 Coast Guard 0 Marines 0 National Guard 0 Navy (17) ISIHE STUDENT A SNORE PARENT? NO 0 YES 0 NO Om CURRENT GRADE LEVEL 07 4TRANSEEWI
ng the school day? O YES NO If YES, provide the school with a copy of the court order. • PBSD 0636 (Rev. 03/19/2003) page 1 of 2 EFTA01710230 THE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEW AND RETURNING STUDENT REGIS 1 ) FATHER CR LEGAL GUARDIAN (Sat 77404 int.9. 7779 (34) DATE OF BIRTH (45) DATE OF BIRTH 5 - • Oa - (.0 7 DO ADD
rent is in the uniformed services of the United States. 0 Yes a No If "E" Is YES, Is the parent on active duty? 0 Yes 0 No (check service below) 0 Air Force 0 Army 0 Coast Guard 0 National Guard 0 Navy 0 Marines 2. Preschool Enrollment Information (Check each program attended. Indicate with an aste
dent during the school day? U YES Wil0 provide the sotto& with a copy of the court order. PBSD 0636 (REV. 02/04/2002) page t o12 EFTA01727108 THE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEW AND RETURNING STUDENT REGISTRATION I I- an - kOODUP eVitt Palm STATE ZIP COCE bud', FL 83Y 1 L CITY ..„ al m iatieeh a STATE ZIP COD
Entities connected to both Air Force and THE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEW

Jeffrey Epstein
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George W. Bush
PERSONLeon Black
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Michael Jackson
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Ghislaine Maxwell
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Vicky Ward
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Samantha Power
PERSONDoug Band
PERSON
Condoleezza Rice
PERSON
National Guard
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Earth
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Tampa
LOCATIONCoast Guard
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Medicaid
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Jacksonville
LOCATIONLegal Authority
ORGANIZATIONPermanent Medical Exemption
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Vince Foster
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Clinic
ORGANIZATIONFlorida Comprehensive Assessment Test
ORGANIZATION