You are Enrolling One Student in...


Note: Fields marked with a star (*) are required.

 

Student Enrolling in Workshop

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*  Girl     Boy    
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After the last day of school, select the rising grade and school.
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Parent/Guardian Information

You must be a Parent or Legal guardian permitted to make decisions for the student indicated above.

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Please add me to your mailing list.

 

Emergency Contact

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Special Instructions

Please list Medical Conditions, other persons authorized to collect your student, etc...


 


e.g. Search Engine, Referral, Brochure, etc...
 
Please check to box to indicate that you are a real person.