MAWP Student Registration Form 2020-2021
Please complete this form in its entirety. We look forward to working with you.
* Required
Student First Name
*
Your answer
Student Last Name
*
Your answer
Gender/Pronoun Preferences (Him/She/Other)
Your answer
Parent's First Name
*
Your answer
Parent's Last Name
*
Your answer
Student Birthdate
*
MM
/
DD
/
YYYY
Age as of September 2020
*
Your answer
Home Address
*
Your answer
City/Town
Your answer
State
Your answer
Name of School
*
Your answer
School District
*
Your answer
Grade
*
Your answer
Email Address
*
Your answer
Parent Cell Phone Number
*
Your answer
Home Phone Number
*
Your answer
Area(s) you need help with (Check all that apply)
Math
Reading
Writing
Have you attended an orientation ?
Yes
No (If not, please sign up on the website for an orientation.)
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