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* 1. Last name

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* 2. First name

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* 3. Please select if your selections are updated

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* 4. Date of entry

Date
Please select 6 courses.
If you want to take two courses from one category, enter the second course in the "double" box below.

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* 5. English

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* 6. History

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* 7. Institutes

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* 8. Math

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* 9. Science

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* 10. Visual and Performing Arts

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* 11. World Languages

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* 12. Additional Programs

If you have any questions about course selection, please reach out to Mrs. Dougherty (cdougherty@perkiomen.org) or Mr. Sell (jsell@perkiomen.org)

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* 13. If you would like to share any thoughts about your schedule, feel free to add a note.

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