ZLO Registration 2017-2018
Registration is now OPEN! Please complete a separate registration for each student. Classes will be filled on a first come / first serve basis.

Following registration, you will be asked to complete a "Student Information" questionnaire, and a *voluntary* student ethnicity questionnaire (no names on this one, just a survey to help satisfy our non-profit agreement).

Email address
Student Last Name
Your answer
Student First Name
Your answer
Parent Last Name
Your answer
Parent First Name
Your answer
Parent Contact Phone
Your answer
Mailing Address
House Number and Street ONLY - or PO Box Number
Your answer
Mailing Address - City, State ONLY
Your answer
Mailing Address - Zip Code ONLY
Your answer
Where did you hear about ZLO?
Your answer
Period 1 (8:20-9:35am)
Period 2 (9:35-10:55am)
Period 3 (10:55-12:15pm)
Period 4 (12:45-2:00pm)
Please use this section to add any additional comments that may be helpful with your registration. Examples: Are you considering extra classes? Do you need financial assistance? Are you interested in work exchange opportunities, and have specific times in mind (will do study hall on Tuesday 3rd period, but not Thursday because of parents work schedule, etc.)?
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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