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Local Co-op Instructor Interest Form
Please fill out this form to be connected with the instructor(s) that interest you.
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* Indicates required question
Email
*
Your email
What is the name of the instructor you're interested in?
*
Your answer
Parent's First Name
*
Your answer
Parent's Last Name
*
Your answer
Parent's Contact Number
*
Your answer
What is the age of your student(s)?
*
Your answer
Which class subjects are you interested in for your child?
*
Your answer
Would you like to sign up for the HSC newsletter?
*
Yes
No
I understand that the instructor will reach out to me for more information for this class. This is not a registration for this class.
*
I agree and have read the statement above.
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