2019 Summer Learning Academy (SLA) Registration Form - Collegiate Academy
*This form can only be completed by parents of current Collegiate Academy students in 9th through 12th grades.
Please select student's current campus *
Select one
Student Information
Student First Name *
Provide First Name
Your answer
Student Last Name *
Provide Last Name
Your answer
Gender *
Gender
Current Grade (SY18-19) *
Select from list
Contact Information
Parent / Guardian First Name *
Provide First Name
Your answer
Parent / Guardian Last Name *
Provide Last Name
Your answer
Relationship to Student *
Uncle, Mother, Father, Aunt etc.
Your answer
Contact Number *
Use format 111-111-1111
Your answer
Parent Email address *
Email
Your answer
Home Address Line 1 *
Your answer
Home Address Line 2
Your answer
City *
Your answer
State *
DC, VA, MD
Your answer
Zip Code *
Enter a valid Zip Code
Your answer
Best way to contact *
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