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                          Streamline School

    ONLINE REGISTRATION 

                                            APPLICATION

                            2008 Academic Year

We would like to register the following student to Streamline School

Please provide some information we need to complete registration: 

(* Indicates required information)

Student:

Please identify and describe yourself:

*First Name
*Last Name
Middle Initial
*Grade at School
Sex Male Female

Please provide the following contact information:

Father or Mother:

*First Name
*Last Name
Middle Initial
*Street Address
Address (cont.)
*City
*State/Province
*Zip/Postal Code
Country
*Home Phone
Work Phone
FAX
E-mail

Please provide the information which classes student is going to attend: 

    Mathematics

    Biology

   Chemistry

   Physics

  Earth Science

  English

Please, provide the source where you obtain the information about the Streamline School:

Newspaper   Radio  Internet Friends Flayers Mail

Other: