Student and Parent Information

STUDENT INFORMATION

Transferring for

Academic Year 2020-21

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Avenues New York

Student Name

Birthdate

Language Track

Student Phone Number OPTIONAL

Student Email Address OPTIONAL

Street Address for 2020-21 School Year

Address 2 OPTIONAL

Address 3 OPTIONAL

Country

City

State or Province

Zip or Postal Code

PARENT OR GUARDIAN INFORMATION

Parent or Guardian Name

Parent or Guardian Phone Number

Parent or Guardian Email Address

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