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by | Apr 11, 2022

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Application-IDSHDHS-d2889-
School Year2425
ReviewedNo
AttendingYes
Primary Parent/ Guardian Information
Primary Parent/ Guardian NameJacqueline Challis
Primary Parent / Guardian EmailEmail hidden; Javascript is required.
Primary Parent / Guardian Phone(859) 638-4671
Primary Parent / Guardian Address6307 Baymiller Lane
Burlington, Kentucky 41005
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Primary Parent/ Guardian EmployerSt Elizabeth Hospital
Primary Parent/ Guardian Business Phone(859) 638-4671
Primary Parent/ Guardian OccupationRegistered Nurse
Primary Parent/ Guardian Highest Education LevelHome College or Associate's Degree
Primary Parent/ Guardian Marital StatusSingle
Primary Parent/ Guardian Relationship to StudentParent (Mother)
Primary Parent / Guardian Legal Custody (yes/no)Yes
Are you a Saint Henry District High School alumni?No
Family ReligionCatholic
Family Parish MembershipImmaculate Heart of Mary
Second Parent/ Guardian Information
Student(s) Information Section
Student 1 Legal NameSawyer Pax Challis
Student 1 Preferred NameSawyer
Student 1 - Grade Entering9
Student 1 Student Social Security402-73-6641
Student 1 GenderMale
Student 1 Birth Date08/11/2010
Student 1 Birth CountryUnited States
Student 1 RaceWhite or Caucasian
Student EthnicityNon-Hispanic/Latino
Student 1 Birth StateKentucky
Student 1 Birth CountyBoone
Student 1 County of ResidenceBoone County (KY)
Student 1 Lives Primary Parent /Guardian (yes/no)Yes
Student 1 School is currently attending or attendedIHM Grade School
Athletic Information
Did the student(s) play a sport at your previous school?No
Emergency Information
First Emergency Contact NameSandra Challis
First Emergency Contact RelationshipGrandmother
First Emergency Contact Phone(859) 586-2029
First Emergency Contact EmailEmail hidden; Javascript is required.