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Application Form - Student
There is a $55.00 non-refundable fee to apply.
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Application Fee Payment
Date of Application
MM
/
DD
/
YYYY
Child's Full Name
Your answer
Email
*
Your answer
Name Child Responds To
Your answer
Sex
Female
Male
Prefer not to say
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Child Due Date/Date of Birth
MM
/
DD
/
YYYY
Home Address
Your answer
Zip Code
Your answer
Home Phone Number
Your answer
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