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2022 - 2023 Horizons Newark Academic Club Enrollment
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Parent Name:
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Student Name:
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Student Grade:
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Student School:
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My child is a:
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Returning Horizons Newark Student
New Horizons Newark Student
Does your child qualify for free-and-reduced lunch?
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In what specific topic(s) does your child need support (ex: multiplication, reading strategies, etc.)? List all that apply.
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Additional Student Needs/Comments:
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