Epic Charter Schools BPA Registration

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* 1. Students First Name

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* 2. Students Last Name

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* 3. Students Epicenter #

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* 4. Students Email Address

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* 5. Students DOB (e.g 01/21/2000)

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* 6. Grade Level 2020-2021

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* 7. Gender

Male

Female

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* 8. Ethnicity

African American

Asian

Caucasian

Hispanic

Native American

Other

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* 9. Career Pathway

Business Administration

Digital Communication Design

Finance

Health Administration

Management Information Systems (IT)

Management Marketing Communications

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* 10. Membership Fee - Learning Fund Charge

The learning fund charge associated with membership in the Epic Charter Schools BPA Chapter is $20. If you agree to the terms below the membership fee will be deducted from the students learning fund; provided funds are available.

By clicking "agree" below you grant permission for us to withdraw the BPA membership fees from the students learning fund account.

Agree

Epic Charter Schools BPA Registration

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* 1. Students First Name

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* 2. Students Last Name

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* 3. Students Epicenter #

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* 4. Students Email Address

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* 5. Students DOB (e.g 01/21/2000)

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* 6. Grade Level 2020-2021

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* 7. Gender

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* 8. Ethnicity

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* 9. Career Pathway

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* 11. ﻿Full Name of Parent/Guardian Approving Learning Fund Charge

* 11. Full Name of Parent/Guardian Approving Learning Fund Charge