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Part 1: Household Information

Parent/Guardian #1

First Name

Last Name

Street Address

City

State

Zip

Email

Phone Number

Receive text alerts at this number?

If checked, you are giving us permission to send text messages with important parent/guardian reminders and alerts to this number.

Parent/Guardian #2

Parent/Guardian #2 First Name

Parent/Guardian #2 Last Name

Street Address (if different than above)

City

State

Zip

Email

Phone Number

Receive text alerts at this number?

If checked, you are giving us permission to send text messages with important parent/guardian reminders and alerts to this number.

Household Information

How many students from your household will participate in SYS programs this year?

3SYS offers a discount of $10/month per student when multiple students from the same household are enrolled

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