Butts Preview Registration
Please fill this form out if you are interested in enrolling at the Butts Foothills location.
Student Full Name *
Your answer
Students Date of Birth *
MM
/
DD
/
YYYY
Parent/Guardian Name *
Your answer
Parent/Guardian Contact phone number *
Your answer
Mailing Address *
Your answer
Name of High School *
Your answer
Grade Level *
Is the student still enrolled in school? *
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