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* 1. Student(s) Full Name(s)

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* 2. Circuit Partner Request (Siblings, Friends, etc) 

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* 3. 2019/20 Schedule Choice

  Best Case Scenario  Good Option Can Make This Work Not possible
Wednesdays 2PM
Tuesdays 5PM

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* 4. Email address

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* 5. Student Age

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* 6. Parent full name

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* 7. Experience, goals, other information you'd like to share:

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