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Child's First Name
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Child's Last Name
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Child's Date of Birth
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Month
/
Day
/
Year
Child's Gender
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Please Select
Female
Male
Non-Binary
Prefer not to say
Child's Grade
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Program
Please Select
Grades 3-5
Grades 6-8
Grades 9-12
Parent/Guardian - 1
Parent/Guardian 1 - First Name
*
Parent/Guardian 1 - Last Name
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Relationship to Child - 1
*
Parent 1 - Phone Number
*
Email
*
Street address - 1
*
City - 1
*
State/Region - 1
*
Postal code - 1
*
Country/Region - 1
*
Parent/Guardian - 2
Parent/Guardian 2 - First Name
*
Parent/Guardian 2 - Last Name
*
Relationship to Child - 2
*
Parent 2 - Phone Number
*
Parent/Guardian 2 - Email
Street Address - 2
City - 2
State - 2
Postal Code - 2
Country/Region - 2
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Pay a 50% deposit to secure your spot in this class. You will receive a second invoice for the remaining balance, which must be paid by the close of business on the registration deadline date.
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Paid in Full
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I hereby certify that the information provided in this application is true, accurate, and complete to the best of my knowledge. I understand that any false or misleading information may result in the denial of my application. I further acknowledge my responsibility to submit all required documentation as requested for the purposes of this application. By submitting this application, I also agree to abide by the
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of inFRAME Academy.
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