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Last name:	* required
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Children's Names/Ages
Please select activity, class and/or field trips attending:	Beginning Strings Intermediate Strings Guitar Suzuki Violin Pre Algebra Algebra 1 Geometry Algebra 2 Middle School Math Advanced Math Middle School Science (physical, basic life science) Elementary Science Lab AP Language and Composition Advanced Creative Writing Incomplete Survey American Lit Coming of Age Lit Boys Will Be Men Middle School Lit Language and Comp 9 - 12

I,  * required Parent of,  * required understand the goals and desires of Homeschooling with Purpose and intrust my child to their care.  I know that accidents cannot always be prevented and will not hold the teachers or organization responsible if my child is injured.  I do trust the administration to notify me if there is any concern over my child during a class.  Emergency contact number:  * required