Section 1 - Student Demographic Information
Email address *
Group Limit
There is a 25 student limit for each grade level. Registrations will be accepted on a first come basis. The registration date and time will be recorded for each form submitted.
Student's First Name *
Your answer
Student's Last Name *
Your answer
Grade Level *
Your Child's Homeroom Teacher *
Your answer
Parent's Name *
Your answer
Additional Parent Email Address (other than the email address already listed)
Your answer
Parent's Phone Number *
Your answer
Additional Parent Phone Number
Your answer
Are there any allergies, medical conditions that Ms. Faust needs to be aware of for this program? (information is confidential and will not be shared)
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