The Young Center 2019-20 College Prep Academy
Participation Registration Form
Email address *
Student First and Last Name *
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Student Mailing Address *
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Name of Current School *
Your answer
Fall 2019 Grade *
Home Phone Number *
Your answer
Student Cellular Number *
Your answer
Student Email Address *
Your answer
Current Over All Grade Point Average (GPA) *
Your answer
List Colleges and Universities Interested in Attending *
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Name of Parent or Guardian *
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Parent or Guardian Cellular Number *
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Parent Email Address *
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Session Date Attending (Select all that you plan to attend) *
Required
There is a one time participation fee of $50 for this program which includes all sessions listed above. To make your payment and complete your registration process click here ALSO when making payment be sure indicate the students name who the payment is for: paypal.me/THEYOUNGCENTER
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