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Student Name
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Student Last Name
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Parent Contact Email
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Parent Contact Phone number
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Street address
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City
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State/Region
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Country/Region
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Parent/Guardian 1 First Name
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Parent/Guardian 1 Last Name
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Parent/Guardian 2 first name
Parent/Guardian 2 last name
Interested in Enrolling for:
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Mid-year/Immediate
Next Fall
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Grade Level Applying
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9
10
11
12
I'd like to learn more with a:
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7 day boarding/5 day boarding
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7 day boarding
5 day boarding
Student interests (so we can tailor your information to you!)
Football
Soccer
Basketball
Baseball
Lacrosse
Tennis
Golf
Wrestling
Mixed Martial Arts
Mountain Biking
Track and Field
Cross Country
Hunting
Fishing
Wilderness Survival
Rock Climbing
Canoeing
Robotics
Music Performance
Music Production
Drama
Studio Art
Computer Art
Ceramics
AP Classes
English Language Learning
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