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The Young Center 2019-20 College Prep Academy
Participation Registration Form
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* Indicates required question
Email
*
Your email
Student First and Last Name
*
Your answer
Student Mailing Address
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Your answer
Name of Current School
*
Your answer
Fall 2019 Grade
*
Freshman
Sophomore
Junior
Senior
Home Phone Number
*
Your answer
Student Cellular Number
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Your answer
Student Email Address
*
Your answer
Current Over All Grade Point Average (GPA)
*
Your answer
List Colleges and Universities Interested in Attending
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Your answer
Name of Parent or Guardian
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Your answer
Parent or Guardian Cellular Number
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Your answer
Parent Email Address
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Your answer
Session Date Attending (Select all that you plan to attend)
*
September 21st 2019 9:00AM
October 26th 2019 9:00AM
November 23rd 2019 9:00AM
December 14th 2019 9:00AM
January 11th 2020 9:00AM
February 8th 2020 9:00 AM
March 14th 2020 9:00AM
May 3rd 2020 1PM
Required
There is a one time participation fee of $50 for this program which includes all sessions listed above. To make your payment and complete your registration process click here ALSO when making payment be sure indicate the students name who the payment is for:
paypal.me/THEYOUNGCENTER
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