AcadeMir Charter School East Middle
2022 - 2023
Date
Student's Last Name
Student's First Name
Student's Date of Birth
Gender
Female
Male
2022 - 2023 Grade Level
6th
7th
8th
Address 1
Address 2
City
State
Zip
Is student a sibling to a CURRENT AcadeMir Charter School student?
Yes
No
Sibling Name
Sibling Grade
Has the student ever attended or registered at a Miami Dade County Public School?
Yes
No
Type of school attending?
Private
Traditional Public
Charter
None
Name of School currently attending?
N/A if None.
Mother's Name
Mother's Phone Number
305888888
Father's Name
Phone Number
3058888888
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Email
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