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Read Syllabus (link in description)  I have read syllabus and agree to terms of class. *
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Read Release form (link in description)  I have read Release Form and agree to terms. *
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Student Last Name *
Student First Name
Do you have a Nickname or other name you like to be called? *
Mother's Name *
Fathers's Name *
Mother's Email *
Father's Email *
Parent's Phone number
What Kind of learner are you? *
What is your desired Grade for course? *
What do you need to do to get this grade? *
What should you not do? *
I am going to work to the best of my ability to achieve my goals for this class *
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