Client Policy Agreement
Last Updated 08/28/2020
Parent or primary adult contact
Please provide the following information about the primary adult contact.
If you use an alternative first name, please include it in parenthesis after your full legal first name.
If you use an alternative last name, please include it in parenthesis after your full legal last name.
If you have already signed up for a ClassMate (Pike13) account with us, use the same email address.
Which of our family of services are you enrolling in at this time?
Please check all that apply.
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