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Achieve Typing Skills! Student Sign Up Form
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Indicates required field
Student Name
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First
Last
Address
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Line 1
Line 2
City
State
Zip Code
Country
Student's Current Grade (if summer grade student will enter in Fall)
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Parent/Guardian Name
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First
Last
Relationship
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Parent/Guardian Phone Number
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Parent/Guardian Email (Please provide an email you check regularly)
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Is it ok to text this number?
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Yes
No
Dates and Times (Please choose all that you are interested in.)
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Summer: June 7-11, 2021 8:00 a.m. - 12:00 p.m.
Summer: June 7-11, 2021 12:00 - 4:00 p.m.
Summer: June 14-18, 2021 8:00 a.m. - 12:00 p.m.
Summer: June 14-18, 2021 12:00 - 4:00 p.m.
Summer: June 21-25, 2021 8:00 a.m. - 12:00 p.m.
Summer: June 21-25, 2021 12:00 - 4:00 p.m.
Summer: June 28-July 2, 2021 8:00 a.m. - 12:00 p.m.
Summer: June 28-July 2 , 2021 12:00 - 4:00 p.m.
Summer: July 12- 16, 2021 8:00 a.m. - 12:00 p.m.
Summer: July 12-16, 2021 12:00 - 4:00 p.m.
Summer: July 19-23, 2021 8:00 a.m. - 12:00 p.m.
Summer: July 19-23, 2021 12:00 - 4:00 p.m.
Summer: July 26-30, 2021 8:00 a.m. - 12:00 p.m.
Summer: July 26-30, 2021 12:00 - 4:00 p.m.
Summer: August 2-6, 2021 8:00 a.m. - 12:00 p.m.
Summer: August 2-6, 2021 12:00 - 4:00 p.m.
Please add additional Information Here if necessary.
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By typing my name below, I acknowledge that I am beginning the sign up process for services at Achieve. I agree to be contacted by Achieve to continue the registration process before sessions begin.
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