Foreign Language Explorers' Club Sign-up
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Email *
What is your first & last name? *
What is your grade level?
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Who is your 4th period teacher (7th & 8th)? Or Connections teacher (6th)? *
Why do you want to join the club? *
Your Guardian's Name (First and Last) *
Guardian's Phone Number *
An additional Guardian's Name (First and Last)
2nd Guardian's Phone Number
Guardian 1 email *
Guardian 2 email *
Address
Emergency Contact (First, Last Name, Relationship to student) *
Emergency Contact (phone number) *
Pediatrician Contact Information (Practice, Physician, Phone number) *
Any medical concerns? (allergies, diabetes, asthma, other)
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If you checked allergies, what are they and do you carry an EpiPen or similar device?
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Please obtain adult consent to meet regularly (1st & 3rd Thursday of the Month  4:30-5:30) on school grounds. By typing their name below, your parent or guardian consents to the above named student's participation in the club and to making sure that you have a ride promptly at 5:30 pm.
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