2020/2021 Information Session Registration Form
Please complete the fields below. All Information Sessions will take place in the gymnasium at CCTEC. Doors will open at 5:30 pm for the 6pm sessions and 9:30 am for the 10:00 am sessions.
Student's First Name: *
Your answer
Student's Last Name: *
Your answer
Current Grade Level: *Please note you will only receive an application if you are a current 8th grade student. *
Required
Current School: *
Required
Parent/Guardian First Name: *
Your answer
Parent/Guardian Last Name: *
Your answer
Phone Number: *
Please enter numbers only. No spaces or dashes.
Your answer
Parent/Guardian Email Address: Please double check the email address to make sure it is correct. This is our primary source of contact. *
Your answer
Student's Gender
Optional - For reporting purposes only.
Student's Race
Optional - For reporting purposes only.
Student's Ethnicity
Optional - For reporting purposes only.
Do you have a child currently enrolled at CCTEC? *
How did you hear about us? *
Required
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