KANW Radio Broadcasting Class Registration Form
SPRING 2018
Name *
First Last
Your answer
Home Address *
Street, City, State, Zip Code
Your answer
Home / Mobile Phone Number *
(555-555-5555)
Your answer
Email Address *
Your answer
Are you currently an Albuquerque Public Schools high school student? *
If yes, which high school do you attend?
Your answer
Do you require special needs or assistance? *
If yes, please explain how we can best accommodate your needs.
Your answer
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