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RESONANCE MUSTANGS

Speech Sign Up Form

Sorry, but this form is now closed.

Please fill out this form to register for after school Speech 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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