2019 Registration for "A Day in the Life of an ERA Student"
I would like to register my 8th-11th grade student to attend "A Day in the Life of an ERA Student":

February 11, 2019
from 8:00 a.m. to 12:00 p.m.

Eagle Ridge Academy (ERA)
3551 Southern Street
Brighton, CO 80601
303-655-0773

Spaces fill up fast, so please register your child today.

Email address *
Student Last Name *
Your answer
Student First Name *
Your answer
Student currently enrolled at *
Please chose from the listed District 27J Schools below. If your student is currently not enrolled in a District 27J middle school, please enter the name of the school in the "Other" area below.
Parent Name (First and Last) *
Your answer
Parent Home Phone Number *
Your answer
Parent Cell Phone Number *
Your answer
Parent Email *
Your answer
Emergency Information:
Please fill out this section if your child has any allergies or other medical conditions our staff should be aware of while they are on the ERA campus.
Your answer
Any special dietary restrictions or needs?
ERA will be providing lunch for students. Please indicate if your child has any dietary restrictions or needs here.
Your answer
A copy of your responses will be emailed to the address you provided.
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