Joseph_Owens (Student Enrollment)

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Post  Joseph_Owens on Tue Sep 08, 2015 8:56 pm

Student Enrollment Application

First Name: Joseph
Last Name: Owens
Gender: Male
Birthdate: March 4th, 1995
Home Address: Ganton Housing Projects
Cellphone Number: 916916
Guardian/Parent's Name(s) if Applicable: Shaquifa Jackson
Guardian/Parent's Job(s) if Applicable: N/A
Guardian Telephone Number if Applicable: 1564403
Guardian/Parent Email if Applicable:

Student Signature: Joseph_Owens (Student Enrollment) 9cb41f0fc77b159809200fa65cde4ef8   ____________________________________________________________________________________________
Medical Information

Major Medical Conditions:
Minor Medical Conditions:
Any conditions that will need an inhalant or a pill during school: No __________________________________________________________________________________________
(( Out of Character ))

First Name: Jimmy
Age: 16
Geographical Location & Timezone:Pacific Time


I agree to take responsibility to any roleplay, good or bad, that I do in Los Santos High School. I also agree to roleplay realistically and the best I can, and take responsibility for any brawl-provoking or any trolling, etc. I agree to accept any punishment for a rule I have broken, and to take my punishment fully. I agree to be admin kicked, admin jailed, or even banned by an administrator if necessary.

Signature: Jimmy

Last edited by Joseph_Owens on Wed Sep 09, 2015 6:40 pm; edited 1 time in total (Reason for editing : made a mistake w/ the number)


Posts : 1
Join date : 2015-09-08

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