Student Application Kiana_Bailey

Student Enrollment Application

Information

First Name:Kiana
Last Name:Bailey
Birthdate:04/03/1995
Home Address:234 JD housing projects
Cellphone Number:2829
Guardian Telephone Number if Applicable:N/A
Guardian/Parent Email if Applicable:N/A

Student Signature:K.Bailey ____________________________________________________________________________________________

Medical Information

Major Medical Conditions: N/A
Minor Medical Conditions: N/A
Any conditions that will need an inhalant or a pill during school: YES/NO, NO __________________________________________________________________________________________

(( Out of Character ))

First:Bella
Age:22
Geographical Location & Timezone:England GMT+1

Agreement

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:K.Bailey