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Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Email Address *
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  • Cell Phone
  • Second Parent / Guardian
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  • First Name *
  • Last Name *
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  • How Did You Hear About Us?
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  • Does your student have any learning or health support needs/accommodations? (IEP, 504, IHP, Academic Improvement plan, or Medical Diagnosis)
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  • Student 1
  • First Name *
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  • Birthdate
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  • Grade Level of Interest *
    School Year *
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  • Is There Another Student?
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  • Parent / Guardian Notes
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