Student Information Personal Information Full Name: Last First M.I. Address: Street Address Apartment City State ZIP Code Home Phone: Cell Phone: ( ) ( ) E-mail Address: Birthdate Guardian Contact Information: Mother’s Name: Mother’s Employer: Mother’s Work Phone: Mother’s Email Address: Father’s Name: Father’s Work Father’s Employer: Phone: ( ) Father’s Address: Other Emergency Contact Information Full Name: Last First M.I. Address: Street Address City State ZIP Code
Student Information Personal Information Full Name: Last First M.I. Address: Street Address Apartment City State ZIP Code Home Phone: ( ) Cell Phone: ( ) E-mail Address: Birthdate Guardian Contact Information: Mother’s Name: Mother’s Employer: Mother’s Work Phone: Mother’s Email Address: Father’s Name: Father’s Employer: Father’s Work Phone: ( ) Father’s Address: Other Emergency Contact Information Full Name: Last First M.I. Address: Street Address City State ZIP Code
2016-2017_CHHS_Trojan_Pride_Cafe_Orientation_Package.docx