CAFYIR on the Computer Registration Form

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CAFYIR on the Computer is a virtual program open to students in Kindergarten through Eighth Grade. We will have weekly meetings focusing on a variety of topics. Students will have the opportunity learn how to apply what they're learning in school to real life, participate in engaging discussions, and gain valuable life skills that are applicable to future careers in all fields. Once you've submitted this registration form, you will receive a confirmation email with more information on the logistics of our program. We will also mail you a introductory package including a notebook to use in our meeting, a pack of writing utensils, an informational packet, a booklet to use throughout the program, and a book to enjoy!

Parent/Guardian Name *

Student Name *

Student Name (Phonetic Spelling) *

Student's School *

Student's Grade Level *

Student's Gender *

Student's Date of Birth *

YYYY

Student's Country of Origin

Is the Student Proficient in English? *

Yes

Student's First Language

Doe your Student have any Special Needs? If so, Please Specify

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Address *

Any Additional Information

I Agree to Receive Emails and Text Messages with Updates on the Virtual Program *

Yes

Parent/Guardian Signature: "By Signing this I am Giving my Student Permission to Attend and Participate in the CAFYIR Inc. Virtual Workshops." *

Submit

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