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Student Registration
MEYGA SOLUTIONS ONE-STOP STUDENT REGISTRATION FORM
Student & Enrollment Information
First name
*
Last name
*
Date of birth
*
Sex / gender
*
Male
Female
Intended enrollment
*
Child's physical address
*
Primary hours of care(From)
*
Time
:
Hours
Minutes
Primary hours of care(To)
*
Time
:
Hours
Minutes
Days of the week in care
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Current school
*
Current grade
*
Miami-Dade County Public Schools ID number
*
No M-DCPS ID
Is the child proficient in English?
*
Yes
No
Other language(s) spoken in the home
Child's ethnicity
Hispanic
Latino
Prefer not to answer
Child's race
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Prefer not to answer
Does the child have health insurance?
*
Yes
No
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