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STEM Institute Registration Form
This form is for parents to register their child into the RMRE STEM Institute for the 2021-22 school year. PLEASE FILL OUT ONE FORM PER STUDENT YOU ARE REGISTERING. Questions can be directed to Principal Bycott at
jmbycott@mpsaz.org
. Thank you!
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* Indicates required question
School attended for the 2020-2021 School Year:
*
Choose
Red Mountain Ranch Elementary
Other Mesa Public School
Outside Mesa Public Schools (Other District, Charter or Home School)
Student's First Name:
*
Your answer
Student's Last Name:
*
Your answer
Student's Current Address:
*
Your answer
Student's Current Grade:
*
Choose
3rd Grade
4th Grade
5th Grade
Contact Parent/Legal Guardian's First Name
*
Your answer
Contact Parent/Legal Guardian's Last Name
*
Your answer
Contact Parent/Legal Guardian's Email Address
*
Your answer
Contact Parent/Legal Guardian's Phone Number
*
Your answer
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