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Please complete this form in order to express your interest in enrolling in Empower College Prep and joining the Empower movement!
What is your student's name? / ¿Cuál es el nombre de su estudiante? *
Your answer
What grade will your student be in during the 2019-20 school year? / ¿En qué grado estará su estudiante durante el año escolar 2019-20? *
What is the name of your student's parent/guardian? / ¿Cuál es el nombre del padre / tutor de su estudiante? *
Your answer
What is the best phone number to reach your student's parent/guardian? / ¿Cuál es el mejor número de teléfono para comunicarse con el padre / tutor de su estudiante? *
Your answer
Please share additional information you want us to know about your student (i.e. interests, gifts/talents, future career, future college, etc.). / Comparta la información adicional que desea que sepamos sobre su estudiante (es decir, intereses, dones / talentos, carrera futura, universidad futura, etc.).
Your answer
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