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