| Application-ID | SHDHS-55595- |
|---|---|
| School Year | 2425 |
| Reviewed | No |
| Attending | No |
| Primary Parent/ Guardian Information | |
| Primary Parent/ Guardian Name | Lacey Kemper |
| Primary Parent / Guardian Email | Email hidden; Javascript is required. |
| Primary Parent / Guardian Phone | (513) 370-1617 |
| Primary Parent / Guardian Address | 12 Smith St Florence, Kentucky 41042 Map It |
| Primary Parent/ Guardian Employer | St Elizabeth |
| Primary Parent/ Guardian Business Phone | (859) 212-5200 |
| Primary Parent/ Guardian Occupation | Nurse |
| Primary Parent/ Guardian Highest Education Level | College Graduate |
| Primary Parent/ Guardian Marital Status | Single |
| 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 | NON Catholic |
| Family Parish Membership | No-Catholic |
| Second Parent/ Guardian Information | |
| Student(s) Information Section | |
| Student 1 Legal Name | Amare Desean Newberry |
| Student 1 Preferred Name | Amare |
| Student 1 - Grade Entering | 9 |
| Student 1 Student Social Security | 295-15-4414 |
| Student 1 Gender | Male |
| Student 1 Birth Date | 04/14/2010 |
| Student 1 Birth Country | United States |
| Student 1 Race | Bi-Racial |
| Student Ethnicity | Non-Hispanic/Latino |
| Student 1 Birth State | Ohio |
| Student 1 Birth County | Hamilton |
| Student 1 County of Residence | Boone County (KY) |
| Student 1 Lives Primary Parent /Guardian (yes/no) | Yes |
| Student 1 School is currently attending or attended | R.A. Jones Middle School |
| Athletic Information | |
| Did the student(s) play a sport at your previous school? | Yes |
| Emergency Information | |
| First Emergency Contact Name | Savannab Jackson |
| First Emergency Contact Relationship | Friend |
| First Emergency Contact Phone | (859) 446-3569 |
| First Emergency Contact Email | Email hidden; Javascript is required. |
