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Parents Name:*
First Last
Phone*
Email*
What is your preferred method of contact?*
- Phone
- Email
Grade level for which your student is enrolling.*
Grade level for which your student is enrolling.(If more than one)
Grade level for which your student is enrolling.(If more than two)
If more than three, please specify in comments below.
Program Choice*
- Online
- Work Books
- Kindergarten
- Credit Recovery
- Summer School
- Unsure
Comments*
Please enter any questions or comments you may have.

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