High School-Readiness Registration
June 1-30 and July 10-28 2023
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Email *
Parent Name *
Parent Phone *
Student #1 Name *
Student #1 Birthdate *
Student #1 Allergies or Medical/Learning Diagnoses *
Student #1 (Please describe any areas of concern or opportunities for growth for your child) *
Student #2 Name *
Student #2 Birthdate *
Student #2 Allergies of Medical/Learning Diagnoses *
Student #2 (Please describe any areas of concern or opportunities for growth for your child) *
Please Select the Dates You Would Like to Register  *
Required
Look for an email confirmation with additional details and payment options after submitting this form. *
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