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Class 66 Interest Form

"*" indicates required fields

Name

This field is for validation purposes and should be left unchanged.

Applicant Name*

First Last

Applicant Gender*

Male

Female

Applicant Birth Date*

Applicant Age on 01/13/2027*

Please enter a number from 15 to 18.

Is your child born after June 01, 2011?*

Yes

If your child is 15-year-old and born after the above date, they will not be eligible for this class but may be eligible for the next class.

Parent/ Guardian Name

First Last

Relationship

Phone*

Email*

Which island are you from?*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Current High School*

What cycle are you looking to enroll in?*

SPRING (JANUARY 2027 – JUNE 2027) [Class 66]

How did you hear about the program?*

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