After School/Specialized Academy Signup Form
Please fill out the following form to sign up for an academy. The form must be completed entirely or it will not be accepted. If you have any questions, please contact Matt Widaman at 907-283-2166 or email mwidaman@kpbsd.org.
Email address *
First Name: *
Last Name: *
Your Phone Number: *
Academy Interested In *
Required
High School You Attend: *
High School You Attend if it wasn't listed*
Grade Level: *
Student ID: *
Your Date of Birth: *
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