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QUESTIONS / COMMENTS

STUDENT'S ADDRESS *

STUDENT'S DATE OF BIRTH *

STUDENT'S HEIGHT, WEIGHT, EYE COLOR, HAIR COLOR FOR DMV PERMIT *

PARENT EMAIL ADDRESSES *

HOW DID YOU HEAR ABOUT US?

NAME OF PARENT(S) *

STUDENT'S EMAIL

SELECT CLASS *

Tuition is not due until the first day of class

STUDENT'S SCHOOL

CITY, STATE, AND ZIP *

STUDENT'S PHONE NUMBER

PARENT PHONE NUMBER(S) *

FULL NAME AS APPEARS ON BIRTH CERTIFICATE *