Gear Up After-School Tutoring For District 12th Grade Students
This program is for 12th-grade district students and will take place on Saturdays beginning. You will be contacted by the Enrichment Program Facilitator once your form is complete to discuss the program. If you do not receive a call, please note that the slots may be full.  
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Student's First Name: *
Student's Last Name: *
School Your Child Attends: *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent Phone Number (10-digit): *
Address (Include city, state and zip code): *
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