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Request Information

	First Name (Parent A)*

	Last Name (Parent A)*

	Relationship to student?*

	First Name (Parent B)

	Last Name (Parent B)

	Relationship to student?

	Student First Name*

	Student Last Name*

	Apply for grade*

	Address Line 1*

	Address Line 2

	City*

	State*

	Zip Code*

	Email Address*

	Phone Number*

	Phone type*

How did you first hear of our school?

	Word of Mouth
	Educational Consultant
	Placement Officer
	School Fair
	Advertisement
	Internet
	Other:

	Current school

	Current Grade*

Interests

	Academics
	Alpine Skiing
	Arts
	Baseball
	Basketball
	Community Service
	Creative Writing
	Cross Country Running
	Dance Team
	Football
	History
	Hockey
	Math
	Music
	Nordic Skiing
	Reading
	Religion and Ethics
	Science
	Soccer
	Softball
	Technology
	Tennis
	Theater
	Volleyball
	Yearbook

	Comments

Please Note: Questions marked with an asterisk (*) are required.

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© 2008 Marshall School | 1215 Rice Lake Road | Duluth, MN 55811 | P 218-727-7266 | F 218-727-1569

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