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Member Information

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Relationship to Student*

Email(s)*Correspondence will be sent to this email.

Phone Number(s)

Mailing Address

If you have other students attending 十大外围买球网站, please list their name(s):

Do you have internet access at home?

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Are you an 十大外围买球网站 alum?

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If yes, what year?

Student Information

Student's Full Name*

Student's "A" Number (if known)

Student's Phone Number

Student's Email

Student's First Year Attending 十大外围买球网站

Is your student living in on-campus housing?

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