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21st CCLC NHS Blue Devil NATION (“Noteworthy Amazingly Talented Intellectuals of Notasulga”)AFTER SCHOOL PROGRAM
STUDENTS IN GRADES K-12 WILL PARTICIPATE IN VIRTUAL ONLINE AFTER-SCHOOL PROGRAM OR SATURDAY ACADEMY.
PLEASE ENTER STUDENT'S EMAIL ADDRESS
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Email
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Your email
STUDENT'S NAME
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Your answer
PLEASE SELECT PREFERRED PROGRAM
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AFTER-SCHOOL
SATURDAY ACADEMY
CREDIT RECOVERY
ACT BOOTCAMP/WORKKEYS
Grade student was in during the 2020-2021 academic school year?
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KINDERGARTEN
FIRST GRADE
SECOND GRADE
THIRD GRADE
FOURTH GRADE
FIFTH GRADE
SIXTH GRADE
SEVENTH GRADE
EIGHTH GRADE
NINTH GRADE
TENTH GRADE
ELEVENTH GRADE
TWELTH GRADE
PARENT'S NAME
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Your answer
PARENT'S PHONE NUMBER
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Your answer
MAILING ADDRESS
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Your answer
PARENT'S EMAIL ADDRESS
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Your answer
DO YOU HAVE ACCESS TO THE INTERNET?
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Yes
No
DO YOU HAVE ACCESS TO TECHNOLOGY DEVICE (EX: IPAD, COMPUTER, LAPTOP, CELLPHONE OR TABLET?
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Yes
No
A copy of your responses will be emailed to the address you provided.
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