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Sunday, February 05, 2012
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Opportunities For Learning!

Empowering Minds by Inspiring Hearts

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2010 Summer School Inquiry
School Site
Student's Name
Date of Birth (mm/dd/yyyy)Select Date
Grade Level (7-12)
Parent/Guardian's Name
Parent/Guardian's Email
Home Phone [ (999)999-9999 ]
Cell Phone [ (999)999-9999 ]
Active IEP?
Resident School
List courses in the spaces provided below.
(3 courses maximum; only 1 PE class may be taken during summer school)
Course 1
Course 2
Course 3
Counselor/Administrator Name
Please make a selection from the submenu
 
 
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