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
Email address *
First Name: *
Your answer
Last Name: *
Your answer
Your Phone Number: *
Your answer
Academy Interested In *
High School You Attend: *
High School You Attend if it wasn't listed*
Your answer
Grade Level: *
Student ID: *
Your answer
Your Date of Birth: *
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