Your Name-- The way you would like it to appear in the program; first and last name, full name with middle name, or nick name.
Your answer
Grade: *
Student School Email Address. Please check this email often! *
Your answer
Pronoun of Choice
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Parent/Guardian Name *
Your answer
Parent/Guardian Email Please check this email often. *
Your answer
Parent Phone Number The phone number available from 2:30-5pm *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number (please use a different number than above) *
Your answer
Transportation. How will you get home at 4:45? *
What is your street address? *
Your answer
Student's Lunch Code (student should know) If your student takes the Late Bus at any time, even if not on a regular basis, we will need this information. *
Your answer
T-Shirt Size (Adult) *
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