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RESONANCE MUSTANGS

Speech Sign Up Form

Please fill out this form to register for after school speech/Debate program (Miller Middle School students ONLY)

Student First name*

Student Last name*

Student Grade

6

7

8

Student email address*

Select one option*

Returning student

New student

Parent Name*

Parent Email address*

Parent Phone Number

If you have any questions regarding the program please email to sripm@resonanceteach.org.

Contact Us: info@resonanceteach.org
Registered 501(c)(3) Non-Profit Organization

Designed by : Sri Parimala Manuguri

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