Summer School Registration
Email address *
Student's Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
School Attending in Fall
Your answer
Grade in Fall *
Your answer
Address *
Your answer
Mother/Guardian Name *
Your answer
Father/Guardian Name *
Your answer
Primary Email Address *
Your answer
Name of siblings also attending Summer Class
Your answer
List name of persons who are authorized to pick up this student: (not parents)
Your answer
Relationship to Student:
Your answer
Phone Number
Your answer
Select Classes *
Required
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