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CTE Express Summer Semester 2024 Registration
Applicants must complete application and emergency contact information.
Course selections are not guaranteed.

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Last Name *
First Name *
Middle Name *
Date of Birth *
MM
/
DD
/
YYYY
Grade level 2024/2025 school year *
Address (number and street) *
City *
Zip Code *
Home Phone *
Cell Phone *
Personal Email (*Please do NOT use school email due to domain issues) *
High School *
High School Counselor Contact Information
*Please complete the following contact information for your high school counselor
Last Name *
First Name *
Phone Number
Email *
Course Selection *
Parent/Guardian Contact Information
*Please complete the following contact information for your parent/guardian
Last Name *
First Name *
Phone Number *
Email *
Emergency Contact Information
*Please complete the following contact information for your emergency contacts
Emergency Contact #1
Last Name *
First Name *
Relationship *
Phone Number *
Email *
Emergency Contact #1
Last Name *
First Name *
Relationship *
Phone Number *
Email *
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