Early College DECEMBER 01-DECEMBER 12 2025

Early College DEC 01-DEC 12 2025 Registration Form

Fill out the form carefully for registration. Your DOB must be no later than JUN 01, 2011 to enroll in this course. (PLEASE DO NOT ENROLL IF YOUR DOB IS AFTER JUNE 1 2011, YOU WILL NOT BE ADMITTED TO CLASS) This class is held after school until 5:30pm each day Monday-Friday. Please bring paper, and pencil each day. Once you complete this form, YOU ARE AUTOMATICALLY ENROLLED! PLEASE WRITE THESE DATES DOWN and SHOW UP!
Student Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Parent/Guardian E-mail
example@example.com
Parent/Guardian Mobile Number
Which class period do you have PE? (This information is used for scheduling the driving portion of the course, if you do not have PE this semester select 0.)
Should be Empty:

Early College DEC 01-DEC 12 2025 Registration Form