Innovations High School Enrollment Interest Form
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Email *
Student Last Name *
Student First Name *
Student ID Number (leave blank if you don't know)
Age *
Birth Date *
MM
/
DD
/
YYYY
Student Phone Number *
Guardian Name *
Guardian Relationship (mother, grandmother, foster parent, etc.) *
Guardian Phone Number *
Guardian Email Address
Please share your reasons for enrolling at Innovations (select all that apply): *
Required
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