Please fill out the following form to sign up for a class or an academy. The form must be filled out entirely or will not be accepted. If you have any questions please contact Matt Widaman at 907-283-2166 or email at mwidaman@kpbsd.org.

* 1. Class/Academy Interested In:

* 2. Location of Class/Academy:

* 3. Your First and Last Name:

* 4. Contact Phone Number:

* 5. Your Cell Phone Number:

* 6. Your Email:

* 7. High School you Attend:

* 8. Grade Level:

* 9. Student ID#:

* 10. Date of Birth

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