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illuminate registration
illuminatehsg@gmail.com
or 318-349-6901
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* Indicates required question
Parent Name
*
Your answer
Parent Name
Your answer
Email
*
Your answer
Mobile Phone Number
*
Your answer
Mobile Phone Number
Your answer
Home Address
*
Your answer
Do you want to be added to the illuminate Facebook page
*
Yes
No
Facebook Name to add
Your answer
Curriculum used
Your answer
Parent skill, talents, gifts, strengths, hobbies, work experience, etc.
Your answer
In what area would you like to help with illuminate?
Your answer
In what area would you like help?
Your answer
I want to attend or be involved in CO-OP
*
Yes
No
I want to talk to someone about this
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