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ACE Teens Registration Form 2017

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Student's Name *
Student's Name
Student's Birthday *
Student's Birthday
Student's Cell Phone Number
Student's Cell Phone Number
If your student should be included on class information and updates via text message or phone call, please enter your student's cell phone number here. Otherwise, please leave this field blank.
Parent/Guardian Name *
Parent/Guardian Name
Please enter a parent or guardian's name, even if the student is 18 or older
Parent/Guardian Phone Number *
Parent/Guardian Phone Number
Please enter a parent or guardian's phone number, even if the student is 18 or older
Second Parent/Guardian Name
Second Parent/Guardian Name
Second Parent/Guardian Phone Number
Second Parent/Guardian Phone Number
Student's Home Address *
Student's Home Address
Please enter the student's address here.