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2021 CES Summer Learning Application
Complete the application to enroll your child(ren) for Summer Learning. The hours are Monday-Friday 8:00 AM-2:45 PM.
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* Indicates required question
Date
*
MM
/
DD
/
YYYY
Parent's First and Last Name
*
Your answer
Race
*
Unknown
African American
Asian
Caucasian
Hispanic
Native America
Multiracial
Address
*
Your answer
City
*
Tuscaloosa
State
*
Alabama
Zip Code
*
Your answer
Phone Number(Cell)
*
Your answer
Email
Your answer
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