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Back to School Registration Form
Please complete a registration form for each child. After you fill out this registration form, you will be contacted. 

Deadline: August 19, 2024
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First & Last Name of Parent/Guardian *
Parent/Guardian's Source of Income *
Required
First & Last Name of Child *
Child's Gender *
Required
Child's Age *
Full Address *
Please include city and postal code.
Parent/Guardian's Phone number *
Parent/Guardian's E-mail *
Preferred contact method *
Required
How did you hear about us? *
Questions and comments
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