| Application-ID | SHDHS-4ede8- |
|---|---|
| School Year | 2425 |
| Reviewed | No |
| Attending | Yes |
| Primary Parent/ Guardian Information | |
| Primary Parent/ Guardian Name | Leah Kelley |
| Primary Parent / Guardian Email | Email hidden; Javascript is required. |
| Primary Parent / Guardian Phone | (859) 957-9631 |
| Primary Parent / Guardian Address | Leah Kelley 33 Julia Ave Florence, Kentucky 41042 Map It |
| Primary Parent/ Guardian Employer | Jacks Glass |
| Primary Parent/ Guardian Highest Education Level | High School Graduate |
| Primary Parent/ Guardian Marital Status | Divorced |
| Primary Parent/ Guardian Relationship to Student | Parent (Mother) |
| Primary Parent / Guardian Legal Custody (yes/no) | Yes |
| Are you a Saint Henry District High School alumni? | No |
| Family Religion | Catholic |
| Family Parish Membership | No-Catholic |
| Second Parent/ Guardian Information | |
| Student(s) Information Section | |
| Student 1 Legal Name | Atticus Kelley |
| Student 1 Preferred Name | Atticus |
| Student 1 - Grade Entering | 9 |
| Student 1 Student Social Security | 000-00-0000 |
| Student 1 Gender | Male |
| Student 1 Birth Date | 09/10/2024 |
| Student 1 Birth Country | United States |
| Student 1 Race | White or Caucasian |
| Student 1 Birth State | Kentucky |
| Student 1 County of Residence | Kenton County (KY) |
| Student 1 Lives Primary Parent /Guardian (yes/no) | Yes |
| Student 1 School is currently attending or attended | St. Timothy Grade School |
| Athletic Information | |
| Did the student(s) play a sport at your previous school? | Yes |
| Emergency Information | |
| First Emergency Contact Name | Amber Luzak |
| First Emergency Contact Relationship | aunt |
| First Emergency Contact Phone | (859) 630-3877 |
| First Emergency Contact Email | Email hidden; Javascript is required. |
