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	Please complete the form below and the St. Nicholas School will contact you.   Red boxes are required. First Name:   Last Name:   E-mail Address: PersonalBusiness     Phone Number: PersonalBusiness     Address: HomeBusiness   City, State or Province, Postal Code:   Alaska American Samoa Arizona Arkansas California Canal Zone Colorado Connecticut Delaware District Of Columbia Fed. States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Military/Atlantic Military/Europe Military/Pacific Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York No. Mariana Islands North Carolina North Dakota Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington Washington DC West Virginia Wisconsin Wyoming   What grade is your child in?:       Questions/Comments:   Your personal information will be used to keep you connected with St. Nicholas School and will not be sold or given to outside agencies.  Your contact information will remain private for St. Nicholas School and Parish use only.