Dr. Data=s Student Data Enrollment

Name: ________________________________________________________________________________________________________________

Team: ______                                                  Student ID #: ______________________________________________________________

Birthday: ______________________________________________________________________________________________________________

Street Address: _________________________________________________________________________________________________________

City: _________________________________________________________________________________________________________________

State: _______________________________________ Zip Code ________________________

Home Telephone: ______________________________________________________________

Father=s Name: ________________________________________________________________

Father=s Business Phone: _________________________________________________________

Parent=s e-mail address: 150 Points (be very careful on clarity) __________________________________________________________________

Mother=s Name: _______________________________________________________________________________________________________

Mother=s Business Phone: ________________________________________________________

Period:                                                           Teacher:                                                          Room #