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PRE-REGISTRATION FORM & OFFER
PRE-REGISTRATION FORM
CURRICULUM STUDY - 2020
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Student Name
*
First
Last
Gender
*
M
F
School
*
GRADUATION YEAR
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Returning Student?
*
Yes
New
What course(s) do you want to study?
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Algebra I
Geometry
Algebra II
Algebra II/Trig
College Algebra
Pre-Calculus
Calculus
Chemistry
Physics
Special Level
*
Honors
AP
Parent/Guardian Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Phone Number
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Type
*
CELL
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Phone Number
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CELL
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Email
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Special Instructions
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