Graduation Registration (Senior Year Student)

indicates a required answer

1. *	Graduates Full Name

2. *	Name & Phone Number Of Primary Guardian Contact

3. *	Email Address Of Primary Contact

4. *	Cell Phone Number of Primary Contact:

5. *

Name & Phone Of Graduate Student

(if they don't have a cell please Say "NO CELL")

6.	Other information that would be helpful to know about your Graduate

7.	Graduates Favorite Bible Verse

8. *	Graduates Allergies (If None Say None)

9. *

Graduates favorites- list at least 5 please.

List a few of the Graduates favorite things from Food, Music, Color, Season & Animals to Subject/Class, Sport, Instrument, Extracurricular & Church.

Benton Homeschool Senior Graduate Registration