Irving Independent School District Forms Page 4
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7Irving ISD
057912
ADMISSIONS
FD
(EXHIBIT)
Signature of Affiant
Typed or Printed Name of Affiant
STATE OF TEXAS
COUNTY OF
SUBSCRIBED AND SWORN TO BEFORE ME on this the __________ day of
________________________, 20___.
Notary Public, State of Texas
(Note: Separate copies of this form should be completed and signed by the student’s parent
and by the adult with whom the student is residing in the District.)
DATE ISSUED: 2/6/2006
2 of 2
LDU-06-06
FD(EXHIBIT)-X
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