February Academy Student Signup Form
February Academy STEAM Week requires student participation for the full week.
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Today's Date *
MM
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DD
/
YYYY
Student ID *
Student First Name *
Student Last Name *
What school does the student currently attend?
What grade is the student currently attending?
Parent Name (First & Last) *
Parent Phone Number 1 (required) *
Parent Phone Number 2 (optional)
Parent Email (required) *
Emergency Contact Full Name and Phone Number *
By submitting this form I acknowledge that I am giving my child consent to attend February Academy. I further acknowledge that my child will attend the full week of February 21st - February 25th, 2022.
Parent/Guardian Electronic Signature Consent and Acknowledgment
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