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Enrollment Interest Form
Please fill out this form if you are interested in enrolling your student for the 2021-2022 school year. Students that are currently enrolled DO NOT need to enroll again. For more information about the enrollment process, please go to
http://dirksen.cps.edu/registration.html
.
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Email
*
Your email
Parent's Name
*
Your answer
Parent's Phone Number
*
Your answer
Address
*
Please include City, State, Zip Code and Apartment Number
Your answer
Student's Name
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
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