Adulting Skills Registration
(Please note that registration is not final until payment is received)
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Email *
Pick the courses you are registering for ($10 discount if you register for both): *
Required
Student Name (First, Last) *
School Name, School District *
Birthdate *
MM
/
DD
/
YYYY
Gender *
Current Grade (Or Grade going into for Summer Sessions) *
Parent Name (First, Last) *
Parent Phone Number *
Student Medical Issues ex. Allergies, ADHD, Autism
Other Information about Student
What would you like your child to get out of this class? *
How did you hear about us? *
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