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Student Full Name
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Group:
Teen/Homeschool Success Fridays 12pm
Etiquette/Life Skills (Elementary) Mondays 4:00pm
Etiquette and Life Skills (Elementary) Tuesdays 12pm
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Dates
1st 9 weeks Aug 18th - Oct 13th
2nd 9 weeks Oct. 20th - Dec 15th
Payment Method
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EMA Marketplace
Invoiced in full
Weekly Payments (9 week commitment)
Please tell us a little bit about your student including interests, goals, and needs and what they're hoping to accomplish (optional)
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