ER (66) HOSPITAL PREFERENCE ihYIlloartlefeets;lbef.vie should bp' onlaaa Ist.71 2cr-7--- it C YOUR OTHER CHILDREN IN PALM BEACH COUNTY SCHOOLS: (VI VANE S Of CHILDREN (68) SCHOOL A (69) GRADE 170) BIRTH DATE ..._, 1 f - 7 19 I (71) I VERIFY THAT THIS REGISTRATION INFORMATION IS TRUE AND . 1,4 ACCURATE TO