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Focus Prep Secondary Registration Application 2021/2022
Please complete one form for each student.
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Student Name
Your answer
Student Age
Your answer
Birthdate
MM
/
DD
/
YYYY
Address
Your answer
Parent/Guardian Name(s)
Your answer
Parent/Guardian Phone Number(s)
Your answer
Parent/Guardian Email Address(es)
Your answer
Courses Requested-Check all that apply
Middle School Math
Pre-Algebra
Algebra I
Algebra II
World History
Intro to Spanish B
Spanish 1
Spanish 2
Middle School English
High School English
Physical Science
Anatomy & Physiology
Piano Lessons
I agree to commit to this/these course(s). Because tuition is primarily what pays the teachers that are engaged, withdrawal carries a fee of two months’ tuition.
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No
I understand that a course may be cancelled if minimum enrollment is not met.
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Yes
No
I have been to Orientation or met with an administrator.
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Yes
No
I give permission OR I do not give permission for my child’s picture to be put on school materials or school internet sites. No identity information such as address, phone number, or last name will be used.
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