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FLEX Summer Registration Form
June 15th - August 7th, Closed July 3rd!
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Email
*
Your email
Student's Name
*
First and last name
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
Do you plan to request reimbursement from Step Up for Students
(Unique Abilities or New World)
for Learning Lab services?
If yes, please enter your Step Up ID Number (STEP ID) to help streamline invoicing for reimbursement:
Your answer
Grade Level (Entering in Fall 2026):
*
Choose
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
School Name:
*
Your answer
List any known allergies
*
Your answer
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