2019/2020 Weekly Class Registration
Student Name *
Birthdate *
MM
/
DD
/
YYYY
Home Address
Student Email Addresss *
Student Cell Phone Number
Day School *
Grade *
Required
Parent/Guardian Name *
Relationship to Student *
Parent/Guardian Email Address *
Parent/Guardian Phone Number *
Does the student have prior experience as a Model United Nations delegate and/or program participant? If so, please elaborate.
Which of the following classes will the student able to attend for the fall semester? (September through December 2019) *
Required
Clear selection
Are the parents/legal guardians of the student in question both aware and supportive of this registration?
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