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JCS Manzanita Home Study Learning Center
Our Friday Learning center begins on Feburary 28th. Please fill out this for for each child you will have attending,
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Email
*
Your email
Student Name (please fill out a new form for each student)
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Current School
*
JCS Manzanita
JCS Pine Valley
JCS Cedar Cove
JCS Mountain Oaks
JCS Pine Hills
JCS LIVE
Grade
*
Kindergarten
1st
2nd
3rd
4th
5th
What classes will your student be attending? Check as many as apply.
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Math (9:00 - 9:50)
Language Arts (10:00 - 10:50)
STEAM (Science, Technology, Engineering, Art, Math) (11:00 - 11:50)
Required
Does your student have any special needs that we should know about?
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Your answer
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