CTG Academy Interest Form

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Email *

Parents name *

Contact Phone Number *

Child’s Name *

Child’s Age *

Do you have the Step up Scholarship? Any other school voucher or scholarship? *

What grade is your child in this year? *

How many elementary school aged children are in your household? Middle school aged? High School? *

How many adults in your household? *

How many children? *

What was your child's previous school? *

Did you finish high school? If not, would you be interested in a program that may help you get your diploma? *

Yes

Does your child get free lunch in their present school? *

Yes

Will you need after school care? *

Yes

Does your child have special needs? (unique abilities) *

Yes

Does your child require medication during school day? *

Yes

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