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Spring 2017 Evening Programming
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Email
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Your email
Parent FIRST Name
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Parent LAST Name
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Parent STREET Address
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City
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Your answer
State
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Zip Code
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Parent Email
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Parent Phone Number
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Student FIRST Name
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Student LAST Name
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Your answer
Student School
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Your answer
Student Current Grade
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Choose
3
4
5
6
7
8
9
10
11
12
Ethnicity
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Black/African/African-American
White/Caucasian
Asian
Native American
Hispanic/Latino
Other:
Returning?
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(Did this child participate last school year and/or this past summer?)
Yes
No
Receives Free or Reduced Lunch?
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(Not used for the selection process in any way)
Yes
No
Programs
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Select each program you are interested in for your child.
Entrepreneurship 6th - 12 graders [Tues 5:30 - 7:30] No cost
Lego Robotics Club 3rd - 9th graders [Some Fridays 6:00 - 8:00] cost $10 dinner will not be provided this semester
Evening Tutoring Only 6th - 12 graders [Tues and Thurs 5:45 - 7:00] $50
Required
If you are applying for Evening Tutoring, please tell us any specific subject would like help with.
Your answer
You will be notified by email of your acceptance status. If accepted, you will to come into the RCLC to fill out paperwork and pick up a calendar.
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