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STUDENT INFORMATION
First Name
(required)
Last Name
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Students Grade?
Select one option
9th (Freshman)
10th (Sophomore)
11th (Junior)
12th (Senior)
PARENT INFORMATION
First Name
(required)
Last Name
(required)
Email
(required)
Phone
(required)
ADD TO THE TEXT GROUP CHAT
Payment Membership Fee
(required)
I will Zelle Payment
I will send my student with Cash to give Mr. Green
Send link via text to pay by Credit Card. I agree to the additional 4% processing fee.
Additional Comments or Questions
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QR CODE FOR ZELLE
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