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Intercession Registration                                        October 31 - November 3, 2022
TO REGISTER, PLEASE COMPLETE THE FOLLOWING FORM.  We will contact parents/guardians regarding placement status. REGISTRATION SPACE AVAILABLE TO SUBMIT UP TO THREE SCHOLARS PER FORM. If signing up more than three scholars PLEASE fill another form out for the remainder.  

Registration deadline: Wednesday, October 26 , 2022

Intercession is Monday - Thursday from 8:30AM to 1:30PM. Buses will be provided. Breakfast will be served from 8:15AM to 8:30AM. Lunch will be provided.
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Parent/Guardian First and Last name *
Relationship to Student(s)
 *
Parent or Guardian's CURRENT HOME ADDRESS  (Street, City and Zip Code)
 *
Parent or Guardian's PHONE NUMBER
 *
What is an alternative phone number? Name of the person this number belongs to.
Parent or Guardian's EMAIL ADDRESS
 *
What is your preferred method of contact?
 *
How will the student(s) be transported to the school? *
Name of Student 1 *
Grade of Student 1 *
Name Student 2
Grade of Student 2
Clear selection
Name Student 3
Grade of Student 3
Clear selection
Submit
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