Interest Form

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We are excited to meet you and answer any questions you may have about our program, but first let us know a little bit about you and your family.

1. *	Parent's Names:

2. *	Best phone number:

3. *	Email address:

4. *	Children's Names and Grades (THIS UPCOMING FALL): (ie. Peggy Sue - 8th grade)

5. *

How did you hear about our program?

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