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Information Sheet for RE Chemistry

 (Please print)

 

Name                          ____________________________________________

                                    Last                                          First

Address                      ____________________________________________

                                    Street

                                  ____________________________________________

                                    City                                          State                Zip Code

Telephone(s)              ____________________________________________

 

Email address             ____________________________________________

 

Chemistry period        ___________________________________________

 

Textbook number        ___________________________________________

 

Parent(s) or guardian(s) names: ____________________________________

 

Interests and hobbies: ____________________________________________

 

______________________________________________________________________

 

Any other information you would like me to know: __________________________

 

______________________________________________________________________

 

Created by Karen Tutnauer"
This page was last updated on 05/28/2005