: PROOF OF DOMICILE SOCIAL SECURITY NUMBER Ifs) SI IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE. 0 (1 DATE / )< - RELATONSHIP PESO 0636 ,REMSED GC 96506 EFTA01710120 r • . A MCA) Mov..1„, v.. Art • •• lele rXTh ial SCHOOL BOARD 00 PALM BEACH COUNTY STUDENT REGISTRATION FORM - PAGE 2