New Student Information- Summer 2025
The information provided is used for instructional purposes only. All information is considered confidential. All requests for information are to be honored at the sole discretion of the parent(s) and will not affect eligibility or administration of services.
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Email *
Name of Person Completing Form *
Student's First and Last Name *
Student's Preferred Pronouns
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Date of Birth *
Current School and Grade *
Parent/Guardian(s) Name(s) *
Home Mailing Address This is used for sending thank you notes and other work-related items as needed. *

Primary Parent/Guardian(s) Cell Phone Number This is who Beth should contact in case of tech issues or an emergency during the session.

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Parent/Guardian(s) Email Address(es)

Please list any email address you would like session information and progress updates. By completing you are consenting to educational and/or other personal information being transmitted electronically. 

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Your Child's Gmail Address for Class Materials

PLEASE READ CAREFULLY.

Workshop and bootcamp materials will be shared on Google Classroom. Everything we use will be accessed through this site. Given the permissions Google Classroom needs to work properly, your child should NOT use an account associated with school. The security measures schools have in place often block external Gmail addresses, including mine. Please list an alternate Gmail address you prefer they use for our lessons.

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