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	Student Information *First Name: *Last Name: Nickname: Ethnicity: (optional) *Birth Date: (mm/dd/yyyy) Parent / Guardian Prefix: *First Name: Middle Name: *Last Name: Suffix: *Relationship: Please Select Mother Father Grandparent Guardian Other Other (details): *Street Address: *City *State: Country *Zip Code: *Email: *Phone: *Phone Type: Additional Information *How did you hear about us? Please Select Friends Family Internet 3greatschools.org Local Reputation Newspaper/Magazine/Radio I am an Alumna. I am a Current Parent. Other How did you hear about us? (Details): Questions / Comments: Current School: School City: School State: *Current Grade: Please Select Non-Applicable Pre-Kindergarten Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 *Year to enter Baldwin: Please Select 2012-2013 2013-2014 2014-2015 2015+ *Grade to enter Baldwin: Please Select PK K Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Grade 6 Grade 7 Grade 8 Grade 9 Grade 10 Grade 11 Grade 12 Activities: (Please let us know your favorite three.) Academics Art Dance Music Theater Basketball Crew Field Hockey Golf Lacrosse Soccer Softball Squash Swimming Tennis Track Volleyball