Registration

2020 Program Registration

If you are human, leave this field blank.

First Name *

Last Name *

Age *

Current Grade *

Parent/Guardian Name *

Parent Phone Number *

Student Phone Number

Parent Email

Student Email

What school does she attend?

How did you hear about the program?

Please list any food allergies.

I confirm that my daughter is available to commit to the assigned dates and will complete the program to its entirety.

Yes

No

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