Sign Up Form STAAR Boot Camp

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STAAR Boot Camp Student Sign Up Form

* Indicates required field

Student Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Student's Current Grade (if summer grade student will enter in Fall) *

Parent/Guardian Name *

First

Last

Relationship *

Parent/Guardian Phone Number *

Parent/Guardian Email (Please provide an email you check regularly) *

Is it ok to text this number? *

Yes No

Grade Level and Subject Matter (Please choose all that you are interested in or apply.) *

Grade 3 Reading Grade 3 Math Grade 4 Writing Grade 4 Reading Grade 4 Math Grade 5 Science Grade 5 Reading Grade 5 Math Grade 6 Reading Grade 6 Math Grade 7 Writing Grade 7 Reading Grade 7 Math Grade 8 Social Studies Grade 8 Reading Grade 8 Math Grade 8 Science High School English I High School English II High School English III High School Algebra I High School Algebra II High School Biology High School U.S. History

Please add additional Information Here if necessary. *

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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