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JA Trades Enrollment Form
School Name:
*
School District:
*
School Address
*
City, State, Zip:
*
School Phone:
*
Coordinator Name:
*
Coordinator Email:
*
Coordinator Position
*
Coordinator Cell Phone #
Principal Name:
*
Principal Email:
*
Select Class Grade Level(s):
*
Please Select
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
MIXED Grades
Preferred Month
*
Please Select
October
November
December
Total Number of Students Enrolling
*
SIMULATION INFORMATION
NOTE: Simulations last 3-4 hours based upon enrollment counts.
Simulation Type:
*
Over 60 students - Time on Site = 4 Hours
Under 60 students - Time on Site = 3 Hours
First Choice Simulation Date
-
Month
-
Day
Year
Date
2nd Choice Simulation Date
-
Month
-
Day
Year
Date
Arrival Time
Additional Comments:
For additional comments or questions, please reach out to Morgan Dennehy (
mdennehy@jastl.org
)
Submit
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