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2023 Summer Workshop Registration
Student First Name
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Student Last Name
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Grade Level (2022-2023 School Year)
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3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
School (2022-2023 School Year)
*
🛈
Parent/Legal Guardian First Name
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Parent/Legal Guardian Last Name
*
Parent/Legal Guardian Phone Number
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Parent/Legal Guardian Email
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Confirm Parent/Legal Guardian Email
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City
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State
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