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* 1. Student First Name

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* 2. Student Last Name

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* 3. Which school will student likely attend in the fall of school year 2024-2025?

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* 4. Mailing Address

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* 5. In which county does student live?

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* 6. Parent/Guardian Name

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* 7. Relationship to student

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* 8. Parent/Guardian email address

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* 9. Parent/Guardian phone number (example: 405-521-6436)

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* 10. Emergency Phone Number

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* 11. I agree to provide transportation and promptly pick-up my student at the end of the workshop.

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