Course Request Form - Personal Information:
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Name of Student: *
Student's Date of Birth: *
Student's Email: *
Parent/Guardian's Name: *
Parent/Guardian's Email: *
Parent's Phone Number: *
Current School: *
Grade as of September 2023: *
I am interested in registering for: *
Please list any additonal courses for which you would like to register. Remember that ELA, Social Studies, Math, and Science are already included for full time students. *
Do you have a curriculum and text for this course, or do you want Edu-Together to supply the learning materials? *
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