Parent and Student Empowerment Nights
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Name of School that Student Attends *
Name of Student Attending *
Name of Parent or Guardian Attending *
Student Email Address
Parent / Guardian Email Address *
Parent / Guardian Contact Number *
Please check which Empowerment Night you would like to attend. (check all that apply)
I understand that the student attending must bring a parent or guardian to the Empowerment Night. This is a parent and student event. *
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