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Application-IDSHDHS-e4e3e-
School Year2526
ReviewedNo
AttendingYes
Primary Parent/ Guardian Information
Primary Parent/ Guardian NameAmy Whittaker
Primary Parent / Guardian EmailEmail hidden; Javascript is required.
Primary Parent / Guardian Phone(404) 428-3113
Primary Parent / Guardian Address2201 Daybloom Ct
Hebron, Kentucky 41048-1106
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Primary Parent/ Guardian EmployerAmy
Primary Parent/ Guardian Business Phone(404) 428-3113
Primary Parent/ Guardian OccupationNA
Primary Parent/ Guardian Highest Education LevelCollege Graduate
Primary Parent/ Guardian Marital StatusMarried
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
Second Parent/ Legal Guardian NameJames Whittaker
Second Parent/ Legal Guardian EmailEmail hidden; Javascript is required.
Second Parent/ Legal Guardian Primary Phone(770) 548-9157
Second Parent/ Legal Guardian AddressKentucky
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Second Parent/ Legal Guardian EmployerDelta Air Lines
Second Parent/ Legal Guardian Business Phone(770) 548-9157
Second Parent/ Legal Guardian OccupationPilot
Second Parent/ Legal Guardian Relationship to StudentParent (Father)
Second Parent/ Legal Guardian Marital StatusMarried
Second Parent/ Legal Guardian Legal Custody (yes/no)Yes
Second Parent/ Legal Guardian - Lives with Student (yes/no)Yes
Is Second Parent a Saint Henry District High School alumni?No
Student(s) Information Section
Student 1 Legal NameBenjamin James Whittaker
Student 1 Preferred NameBen
Student 1 - Grade Entering9
Student 1 Student Social Security623-83-7879
Student 1 GenderMale
Student 1 Birth Date10/16/2010
Student 1 Birth CountryUnited States
Student 1 RaceWhite or Caucasian
Student EthnicityNon-Hispanic/Latino
Student 1 Birth StateCalifornia
Student 1 Birth CountySan Diego
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 NameAmy Whittaker
First Emergency Contact RelationshipMother
First Emergency Contact Phone(404) 428-3113
First Emergency Contact EmailEmail hidden; Javascript is required.