2023-2024 Pre-Registration Registration
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Email *
Student's Full Name: Last, First and Middle *
Gender *
Birth Date *
MM
/
DD
/
YYYY
Race/Ethnicity *
Primary Full Address: street, mailing, city, and zip *
Primary Guardian Full Name: Last, First and Middle *
Primary Guardian Phone Number (please list if cell number) *
Primary Guardian Email Address *
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