2017 Summer School Sign Up
Student's Last Name *
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Student's First Name *
Your answer
Address *
Number and Street only
Your answer
City, State and Zip Code *
Your answer
Parent or Guardian's First and Last Name *
Your answer
Phone Number *
Please include area code
Your answer
Other Parent or Guardian's First and Last Name (OPTIONAL)
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Phone Number
Please include area code
Your answer
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
Your answer
What subject area(s) are you signing your student up for? *
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