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If interested in one or more summer sessions, please complete this step BEFORE payment.  
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Email *
Scholar's LAST Name *
Scholar's FIRST Name *
Scholar's Email (to use for CANVAS only) *
Rising Grade Level (after summer 2022) *
City and State *
Child's School Next Year (2022-2023) *Optional*
Parent's Email *
Parent's Phone
I would like to enroll our scholar for (check ALL that apply) *
What we need to know about your scholar: *
Additional Question/Comments/Concerns (Optional)
A copy of your responses will be emailed to the address you provided.
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