Youth
Computer-Office Training Student Enrollment Form
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First
name:
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Date
of birth:
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Sex:
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Age:
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Grade
level & school:
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Address:
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State:
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Zip
Code:
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School
lunch recipient?
[ ]Yes [
]No
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Parent
or legal guardian name:
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Relationship
to Student:
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Phone
number:
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Person
to be contacted in case of emergency if parent cannot be
reached: include name, address and phone number
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Number
in household:
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Annual
income:
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Florida
Healthy Kids participant?[ ]Yes
[ ]No
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Classes
interested in: (specify or circle)
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[ ]
Basics
[ ]
Internet
[ ]
Typing
[ ]
E-mail
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[ ]
Word
[ ]
Excel
[ ]
Access
[ ]
WebDesign
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[ ]
Graphics
[ ]
Photoshop
[ ]
Repair
[ ]
Animation
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[ ]
HomeworkHelp
[ ]
Arts and
music
[ ]
Crafts
[ ]
Day trips
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Approval:
I give my child permission to participate in the
YCOT program offered by AACS
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Signature
of parent/guardian:
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Date:
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