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EFTA01710352
CK fr , (31) STUDENT LIVES WITH (CHECK ONE) 0 BOTH PARENTS 0 MOTHER i li FATHER 0 SHARED CUSTODY i OTHER ,. - •• .(32) TRANSPORTED BY: SloeIsm will two tionsportod to/Itow school lirldimo if oilier ihsa Parsed WIS 0 G El CONTACTING THE STUDENT DURING THE SCHOOL DAY] 0 YES 0 NO IF YES,
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