REGISTRATION

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To register, please take the time to fill out the information below.

STUDENT INFORMATION

First Name

Last Name

Phone Number

Email

Birthdate

Age

Grade

School Name *

High Tower ES

Peachtree MS

Dunwoody HS

Does the student have a Laptop/Tablet? *

Yes

No

Do you have internet at home? *

Yes

No

Who does the student live with? *

Father

Mother

Both

Number of Siblings under 4

Boys

Girls

PARENTS INFORMATION

Mother First Name

Job Occupation/Skill

Mother Last Name

Are you Employed? *

Yes

No

Phone Number

Mother's Email

Do you speak Spanish? *

Yes

No

Father First Name

Job Occupation/Skill

Father Last Name

Are you Employed? *

Yes

No

Do you speak Spanish? *

Yes

No

Phone Number

Father's Email

Complex *

Dunwoody Glen Apts

Lacota Apts

Apts. #

Warning

If you have completed the form then push the bottom Submit , otherwise the registration won't go through.

Call us

Phones: (404) 456-1530 / 404) 441-1509

Find us:

6800 Peachtree Industrial Blvd. - Apt. R-06 Atlanta, GA 30360-2321

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