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10 15 - alasuonline.com

SESSION 1: JUNE 4-22, 2018 SESSION 2: JULY 9-27, 2018 Orientation | May 19 | 9 - 2 Ralph David Abernathy AuditoriumDivision of Continuing Education Box 271 Montgomery, AL 36101-0271 Nonprofit Org. Postage PAID Montgomery AL Permit #149 Name of Classes:8-10 _____10 _____1-3 _____3-5 _____What school did you attend for the 2016-17 school year? _____Total Cost: $425: 4 classes, 8 Includes lunch, field trip, t-shirt and backpack $300: 2 classes, 8 or 1-5 Includes lunch, t-shirt and backpack Session 1 Session 2 Both sessionsPlease print Student Name: _____ Grade: _____ Age: _____ Address: _____ City, State & Zip Code: _____Name of Parent/Guardian: _____ Day/Work Phone: _____Cell Phone: _____ Home Phone: _____ Email: _____T-shirt Size: _____PAYMENT OPTIONSREGISTER & PAY ONLINE AT Do NOT fill out this form if you registered online.

SESSION 1: JUNE 4-22, 2018 SESSION 2: JULY 9-27, 2018 Orientation | May 19 | 9 a.m. - 2 p.m. Ralph David Abernathy Auditorium Division of Continuing Education

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