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* 1. Full Name of Parent/Guardian

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* 2. Phone Number

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* 3. Parent/Guardian Email

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* 4. Full Name of Student

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* 5. Student's Disability

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* 6. Will your Student be attending with a support person?

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* 7. May we contact you prior to open-enrollment for early bird registration?

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* 8. Do you want to be updated periodically with news from the Extraordinary?

T