2021-2022 Registration - Classes at Town North
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Email *
1. Student #1 Name (Last, First) *
2. Student #1 DOB
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/
DD
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YYYY
3. Student #1 Grade level for 2021-2022 *
4. Is Student #1 graduating this year?
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5. Student #1 Email
6. Student #1 Phone Number
7. Does Student #1 have any physical, medical, or emotional disorders that the teacher needs to be aware of?
8. Student #1 Class Selection 1      Please choose the class for which you are signed up (meaning: you have already contacted the teacher regarding adding your child to his or her list and the teacher has verified that there is still room in the class. If you are on the waiting list for any additional class, you may list it as WL).
9. Student #1 Class Selection 2    
10. Student #1 Class Selection 3    
11. Student #1 Class Selection 4  
12. Student #1 Class Selection 5  
Do you have more students to submit?
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