We greatly value your input as we strive to enhance our educational services. Kindly take a moment to provide us with some essential information to better serve you and your child. Your responses will help us tailor our programs and support to your needs.

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* 1. Student's Name

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* 2. Parent's email address

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* 3. parent's phone number

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* 4. Date of Birth

Date

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* 5. Guideline Confirmation: Have you read CORE parents' guidelines?

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* 6. Student's academic and/or Emotional Struggles: Please share any academic and/or emotional challenges your child may be facing to help us provide appropriate support.

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* 7. Please upload the 2023-2024 application form provided on the CORE website

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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* 8. Please upload the photo/video release consent form provided on the CORE website.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.
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