Parent Data Submission
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Parent Email
Mother Last Name
Salimbene
Mother First Name
Amy
Father Last Name
Salimbene
Father First Name
Frank
Street Address
City
5540 North Church St
greensboro
Mother Contact Phone
336-907-0436
Father Contact Phone
336-669-9468
Zip Code
27455
Emergency Contact Name
Lori Rountree
Emergency Relationship
aunt
Work Duty Option
I am paying the $60 work duty fee.
Emergency Contact Phone 1
336-402-3633
Emergency Contact Phone 2
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