High School Hillyard Technical Center Registration 2019-2020 (accepted students only)
Student's Legal First Name *
Your answer
Student's Legal Last Name *
Your answer
Grade: *
Birthdate *
MM
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DD
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YYYY
Gender *
High School: *
Your answer
Student Cell Phone Number:
Your answer
Student Email Address
Your answer
Hillyard Program: *
Is your class scheduled for the morning or afternoon? *
T-Shirt size *
Daytime Telephone Number (used to verify attendance) *
Your answer
Parent/Guardian Email (used to verify attendance). Enter N/A if you do not have an e-mail address. *
Your answer
Home Street Address: *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Is your mailing address the same as your home address? *
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