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RALC Admission Application
Proposed Entry Date for SY 2026-2027
Grade - Pre School/Pre K/
Student's Name
SSN
Age
DOB
Sex
Boy
Girl
Who Does The Child Live With?
Does Student Have Special Needs?
Yes
No
Student's Physician
Phone
Address
Address
Mothers Name
SSN
Father's Name
Address
Work #
Home #
Cell #
Occupation
Email
Employer
Work Address
Submit
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