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STUDENT INFORMATION
First Name
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Last Name
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Students Grade?
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9th (Freshman)
10th (Sophomore)
11th (Junior)
12th (Senior)
PARENT INFORMATION
First Name
(required)
Last Name
(required)
Email
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Phone
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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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HARLAN BACKSTAGE BOOSTERS
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