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Member Info
System Information
E-mail Address:
[email protected]
Cell/Txt Phone Number:
515-450-1349
Basic Information
First Name1
test
Last Name1
test
Student 1 Information
First Name
Jimmy
Student 1 Middle Name
Tom
Last Name
Smith
Student 1 Country of Citizenship
US
Student 1 First Language
English
Student 1 Sex at Birth
Male
Student 1 Ethnicity
Not Hispanic or Latino
Student 1 Race
White
Student 1 Current Grade
Grade 2
Student 1 Current School Type
Parochial School within US or Canada
Student 1 Residential Type Preference
Boarding, Day
Student 1 Interested In
Arts-Student Government-Athletics
Parent / Guardian Information
Prefix
Mr.
Guardian First Name
Tom
Guardian Last Name
Brady
Country of Citizenship
US
Country of Dual Citizenship
US
Primary Phone Number
222-333-4444
Primary Phone Type
Mobile
Secondary Phone Number
444-555-6666
Secondary Phone Type
Home
Guardian Home Address
1 Main St, Dumbo, 11201, United States