2019 YZKI Summer Scholars Program
Weekly registration is available.  
Please register each child using a separate form.
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Student Name *
Student Date of Birth *
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/
DD
/
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Home Address (Street, City, State) *
Father's Name *
Mother's Name Name *
Parent's Email *
Parent's Phone - Primary *
Parent's Phone - Secondary *
Child's Special Needs
Is the child a Good Tree Academy student *
Please specify weeks of registration
Summer Program Course Selection
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