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1. Before clicking the "Done" button below, please print out a copy for your records.

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* 1. Student 1 Last Name:

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* 2. Student 1 First Name:

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* 3. Student 2 Last Name:

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* 4. Student 2 First Name:

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* 5. Grade Level (Student 1):

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* 6. Grade Level (Student 2):

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* 7. Teacher/Room # (Student 1):

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* 8. Teacher/Room # (Student 2):

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* 9. Parent's Last Name:

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* 10. Parent's First Name:

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* 11. Parent Phone #

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* 12. Parent E-mail:

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* 13. Class(es) you would like to enroll your child in. If you are signing up two children for enrichment classes, please select classes for the child entered in the "Student 1" fields above on this question. Day of the week class is offered, grade level(s) for each class and price is included in parenthesis to the right of class title:

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* 14. Class(es) you would like to enroll your child in. If you are signing up two children for enrichment classes, please select classes for the child entered in the "Student 2" fields above on this question. Day of the week class is offered, grade level(s) for each class and price is included in parenthesis to the right of class title:

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* 15. Payment Option:

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