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* 1. I would like to sign up my student(s) for the 2021 Athlos Leadership Academy Summer School Program!

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* 2. Please type in your student(s) name(s) and their current grade(s).

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* 3. I will need transportation to and from the summer school program.

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* 4. AM Transportation Pick UP Address

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* 5. PM Transportation Drop OFF Address

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* 6. Please type in your current cell phone below.

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* 7. Please type your current address below.

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* 8. Please type the name of the person filling out this form below.

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* 9. Please type emergency contact(s) and phone number(s) below.

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