2017 Summer School Sign Up
Student's Last Name
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Student's First Name
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Address
Number and Street only
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City, State and Zip Code
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Parent or Guardian's First and Last Name
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Phone Number
Please include area code
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Other Parent or Guardian's First and Last Name (OPTIONAL)
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Phone Number
Please include area code
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Emergency Contact Person
This is someone other than the parent that we can contact if we cannot get a hold of the parent
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Emergency Contact Person's Phone Number
Please include area code
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What subject area(s) are you signing your student up for?
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