College Bound Students- Registration 
November 9 & December 7, 2022;  February 4, 2023     (Register for one or more)
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How did you find out about Study Hall? *
Student Name *
Grade entering in fall *
School Name, City, State *
Student Email *
Parent/Guardian Name *
Parent/Guardian Street Address, City, State *
Parent/Guardian Email *
Parent/Guardian Cell phone *
Emergency Contact (other than listed above) *
Emergency Contact Best Phone *
Session(s) *
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