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2017-18 Returning Student Application

Name *
Name
Date of Birth *
Date of Birth
Phone *
Phone
EmersonWRITES Class: 1st Choice *
Please check the class you would like to participate. Class descriptions can be found under the "Course and Schedule" tab.
EmersonWRITES Class: 2nd Choice
Parent iNFORMATION
Please fill in the Parent/Guardian you would like us to contact in case of an emergency
Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Phone Number *
Parent/Guardian Phone Number