ns SEX: RACIAL/ETHNIC GROUP: G Mao Not Hispanic G Black Not Hispania -c Dale First Entered This ()kirk' Hispanic o can IndlanfNatIvo Alaskan G Asian/Pacific Islander O Muhl Racial OR OTHER RESPONSIBLE ADULT AT HOME: I o, PHONE NUMBER: (options!) ' OA Grader Schock Grade: School: (Pada Shoot. Grade: Sel