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Registration Interest
If you are interested in registering for courses here at the Tinkham Educational Center, fill out the form below and someone will be in touch with you.
What is your name? *
Your answer
What is your date of birth? (mm/dd/yyyy) *
Your answer
What is your phone number? *
Your answer
What is your address? *
Your answer
Parent/Guardian Name(s)
Your answer
Parent/Guardian Phone #
Your answer
Do you need a bus to take you to school? Only available for in district students
What program of study are you interested in? Check as many areas you have interest *
Required
Where was the last school you attended and when?
Your answer
HAS STUDENT BEEN SUSPENDED FOR 30 DAYS OR MORE AND/OR EXPELLED FROM A PREVIOUS SCHOOL? *
HAS STUDENT RECEIVED ANY SPECIAL EDUCATION, 504 OR SUPPORT SERVICES, PLEASE INDICATE THE TYPE OF SERVICE. *
Is there anything else you would like us to know about you?
Your answer
How did you hear about us? *
Your answer
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