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Student First and Last Name
Student Mobile #
Parent First and Last Name
City, State Zip
Parent Mobile #
High School Name
Location of High School (State)
For those enrolled in our Comprehensive Program, no fee is required.
For all others, payment of $275 is due in advance of your workshop.
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Deadline to Enroll is June 19, 2021
5:00 PM EDT
Strategies For College client (Yes or No)
Type of Credit Card (MC/VISA/AMEX)