SCCP Registration Form: Third Quarter
ACPS SCCP • 907 Henry Avenue, Charlottesville, VA 22903 • 434-296-5840
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PLEASE SUBMIT ONE FORM PER CHILD.
Only fully completed forms will be accepted.
SUBMITTING THIS FORM DOES NOT GUARANTEE REGISTRATION.
Program space is limited. Slots will be allocated on a first come, first served basis by family. Parents will be notified about the status of their child's registration by Friday, November 6. Students who do not receive a slot in the program will be placed on a waiting list in the order in which their registration form was submitted.

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