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Enrollment Interest Form

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Parent/Guardian Name: ____________________________

Phone Number: ____________________________

Email Address: ____________________________

Student Name: ____________________________

Grade Applying For: Kindergarten, 1st, 2nd, 3rd, 4th, 5th, 6th, 7th, or 8th Grade

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Call 334-791-8683 or email timeleadershipacademy@gmail.com.