Sierra Madre MS LEARNs 2021-2022 Program Application                    
Program cost $265.00 a month due the 1st of the month and is prorated for August and December (first payment due at sign up). Check or money order made payable to PUSD. No cash accepted.
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Email *
Student Information
Student Last Name *
Student First Name *
Gender *
Date of Birth *
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Race/Ethnicity *
Grade in Fall 2021 *
Student ID#
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