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Saturday Academy - November 16th, 2019
The Saturday Academy will take place on November 16, 2019. Students will soon be provided more information on building location via email and text message.
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
School
*
Birmingham Community Charter
James Monroe High School
Panorama High School
Reseda High School
Sylmar Charter High School
Current Grade Level
*
9th grade
10th grade
11th grade
12th grade
Student Cell Phone
Your answer
Student Email
Your answer
Will you be attending the Saturday Academy November 16, 2019?
*
Yes
No
Maybe
Emergency Contact Information
Emergency Contact Name
*
Your answer
Emergency Contact Phone #
*
Your answer
Emergency Contact Relationship
*
Your answer
Allergies/ Dietary Restrictions
Do you have any dietary restrictions?
*
Yes, indicate under other
Vegetarian or Vegan
Lactose Intolerant
No
Other:
Required
Do you have any allergies?
*
Yes, indicate under other
No
Other:
Required
Transportation for Pick-Up
Please indicate how you will be getting home.
Transportation
*
I will be getting picked up by a parent/guardian
I will be taking the bus/public transportation
I will be walking home
Other:
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