!ROM SC11031? 2. HAD AN ARREST RESULTING IN A CHARGE? 3. HAD ANY JUVENILE JUSTICE ACTIONS? I YES OYES Ira 9 NO I NO I NO EFTA01709705 THE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEW/RETURNING STUDENTS REGISTRATION BACK I3IT STUDENT LIVES WITH (CHECK ONE) il 0011% PARENTS II MOTHER 0 FATHER SHARED CUSIOD) u OTHER (32) TRAP/SPORTED TM Suds,.

that your 2004 Mathematics score would be between 1901 and 1975 NT=Nol Tested NR=No: Reported Data Run Date: 04/14/2004 0012614 EFTA01709898 THE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEW/RETURNING STUDENTS REGISTRATION • BACK 1311 STLK)iNT LIVES mu 'CHECK 01451 BOTH PARENTS 0 MOTHER Ill FATHER 0 SHARED CUSTODY WTTA • 0 O . _ r 1404 AntFL

cial program. A student may be placed in an Intensive Math and/or Intensive Reading Class based on scores of normed district tests. EFTA01709978 THE SCHOOL DISTRICT OF PALM BEACH COUNTY - NEW/RETURNING STUDENTS REGISTRATION 1311 STAID i l l LIVES WITH (QIECE ONE1 BOTH PARENTS N gMOTHER II II t. • FATHER 0 SHARED CUSTODY ti 0 a . , t..) , V