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2024 IM Summer Program
Grades 3-8 @ All 4 Warren City PK-8 Schools

Thank you for your interest to the 2024 Inspiring Minds Summer Enrichment Program. By filling out this form, you and your child agree to their participation. Remember, SPOTS ARE LIMITED. If your application is accepted, you will be contacted to attend a mandatory parent meeting to finalize your enrollment in the program. If you do not attend the mandatory parent meeting, your application will be declined.
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Student First Name *
Student Last Name *
School *
Grade Entering in Fall 2024 *
School Transportation *
Student Birth Date *
Gender *
Street Address *
City, State *
Zip Code *
Parent/Guardian Name *
Parent Cell Phone *
Parent Home/Work Phone *
Parent Email Address *
Student T-shirt Size *
Did you complete this application for siblings? *
If yes, please list their first and last names: *
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