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Students First Name:
Last Name:
Street Address:
Subdivision:
City:
Zip Code:
Parents Name:
Work Phone:
Home Phone:
E-Mail:
Students Date of Birth:
Month
Jan.
Feb.
March
April
May
June
July
Aug.
Sept.
Oct.
Nov.
Dec.
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
High School Attending:
Desired Course Date:
Starting 01/10/09 (DCHS)
Starting 01/17/09 (RCHS)
Starting 01/24/09 (CVHS)
Starting 02/21/09 (DCHS)
Starting 03/07/09 (Chap)
Starting 03/14/09 (RCHS)
Starting 03/23/09 (DCHS-Spring Break)
Starting 04/04/09 (CVHS)
Starting 04/18/09 (DCHS)
Starting 05/02/09 (RCHS)
Starting 05/09/09 (CVHS)
Starting 06/08/09 (DCHS-Summer)
Starting 06/15/09 (Chap-Summer)
Starting 06/22/09 (CVHS-Summer)
Starting 07/13/09 (RCHS-Summer)
Starting 07/20/09 (DCHS-Summer)
Starting 07/27/09 (CVHS-Summer)
Starting 09/12/09 (DCHS)
Starting 09/19/09 (Chap)
Starting 09/26/09 (CVHS)
Starting 10/10/09 (RCHS)
Starting 10/19/09 (DCHS-Fall Break)
Starting 11/14/09 (CVHS)
Starting 12/05/09 (RCHS)
Starting 12/12/09 (DCHS)
Other
How Did You Hear About Us:
You can pay now with the checkout button (after you press Submit Registration) or we'll mail you payment options when we confirm your registration.