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SUmmer Enrichment Program Registration Form
The maximum number of form submissions has been reached. This form is currently not available.
- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Grade in September 2025 REQUIRED Please fill out this field.
- T-Shirt Size REQUIRED Please fill out this field.
- Student's Current School REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Parent's Name (Emergency Contact 1) Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Parent's Name (Emergency Contact 2) REQUIRED Please fill out this field. Please enter valid data.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Please explain any medical or other conditions that may impact your child's particiption in the program's academic or athletic components. Please indicate N/A if this does not apply to your child. REQUIRED Please fill out this field.
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