All Questions are Mandatory for Enrollment

* 1. What is your student ID #?

* 2. What is your last name?

* 3. What is your first name?

* 4. What is your home address?

* 5. What is your date of birth?

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* 6. What is your age?

* 7. In which grade are you enrolled for 2017-18?

* 8. How do you self-identify?

* 9. What is your gender?

* 10. Which High School do you attend?

* 11. What is your cell phone number?

* 12. What is your email address?

* 13. How do you prefer we contact you?

* 14. Are you eligible for Free & Reduced Lunch at the CMS school you attend?

* 15. What is your expected date of graduation?

* 16. What are your plans after graduation?

* 17. Which class would you like to join for the 2nd Trimester? Select 1st Choice!

* 18. Select 2nd Choice. Please do not select same class because if it is full, Studio 345 will have to select a 2nd choice for you.

* 19. How did you hear about Studio 345? Please select all that apply.

* 20. What mode of transportation will you use to get to Studio 345?

* 21. Are there any barriers that will keep you from participating? Please select all that apply.

* 22. Are you currently under a physicians care because of a learning disability, behavioral or mental diagnosis.  If so, please describe in detail so we can better serve your needs at Studio 345.

* 23. What is your parent/legal guardian's first name?

* 24. What is your parent/legal guardian's last name?

* 25. What is your parent/legal guardian's cell phone number?

* 26. What is your parent/legal guardian's work phone number?

* 27. What is your parent/legal guardian's home phone number?

* 28. What is your parent/legal guardian's email address?

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