MAWP Student Registration Form 2020-2021
Please complete this form in its entirety. We look forward to working with you.
Student First Name *
Student Last Name *
Gender/Pronoun Preferences (Him/She/Other)
Parent's First Name *
Parent's Last Name *
Student Birthdate *
MM
/
DD
/
YYYY
Age as of September 2020 *
Home Address *
City/Town
State
Name of School *
School District *
Grade *
Email Address *
Parent Cell Phone Number *
Home Phone Number *
Area(s) you need help with (Check all that apply)
Have you attended an orientation ?
Clear selection
Submit
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