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Independence High School

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INDEPENDENCE HIGH SCHOOL APPLICATION FORM

Sex (sexo)
Dominant hand (Mano dominante)
Does your child have any medical problems (Problemas medicos)?

Primary Contact (Primer contacto)


Primary contact

Secondary Contact (Segundo contacto)

Secondary contact

For all application to be processed, $20 application fee must be payed to (Heritage Bank # 114-1002).

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        Heritage Bank # 114-1002

          Contact I.H.S:

          Independence High School
          Tel: (+501) 523-2220
          Email: [email protected]

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