The Grade Registration Form
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Father's Name:
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Mother's Name:
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Address:
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City:
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State:
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Zip:
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Home Phone:
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School:
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Grade:
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Date of Birth:
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Announcements for The Grade and
related activities are sent via email to both parents and
participants.
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| Parent's Email: |
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Participant's Email:
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Should the need arise, permission is granted
to provide medical assistance to my son.
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Signature of parent / legal guardian:
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Please enclose check for $350
($320 on or before September 1).
Financial considerations should not prevent anyone from attending. A
scholarship may be requested.
Send this application and check payable to
Overlook Study Center by September
12th to:
Overlook Study Center
99 Overlook
Circle
New Rochelle, NY
10804