Miller Summer Program Registration
Student's Name: *
Your answer
Student's School ID #: *
Your answer
Grade: *
Parent/Guardian Name *
Your answer
Parent/Guardian Phone Number *
Your answer
Parent/Guardian Email: *
Your answer
Daytime Preferred Method of Contact: *
The Program Schedule: please look over it and answer the next question.
Which classes are you interested in attending? (You may choose numerous classes and may change your class choice throughout the Summer Program) *
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