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SAEP 2008 Registration

Your Information

Personal Information

*	First Name:
*	Last Name:
*	Relationship to student:
*	Address:
*	City:
*	State:	Select a stateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming
*	Zip Code:
*	Home Phone:
	Work Phone:
	Cell Phone:
*	Email Address:

Emergency Contact Information

*	Emergency Contact Name:	Alternate name - you will be the first one we contact.
*	Emergency Contact Relationship:
*	Emergency Contact Phone:

Helpful Information

*	Carpool?	No Yes We are going to compile a list a parents who are interested in carpooling. If you select "yes", we will email you the names and phone numbers of other parents from the same zip code. We will not publish addresses- that will be up to you to give out that information. Select "yes" if you are interested.
	How did you hear about SAEP?
	Orientation:	No Yes Are you planning on coming to the orientation on June 29th? This year, our Orientation Meeting will be held on Sunday, June 29th from 5 to 7 pm. In an effort to improve our ability to serve your needs, we have made a few changes in how we will accomplish our program orientation. First, there will not be a structured starting time. This means you may come anytime between 5 and 7 pm. Second, our office staff will be available to help make any changes in classes, collect medical release forms, or process payments all during that time frame. We hope this helps to minimize the lines. Third, our teacher assistants (TAs) will conduct campus tours every 15 minutes beginning at 5:15. On this tour, the TA will take interested parents and students throughout the key areas on the CSUN campus, including the particular classrooms where the students will be attending. We believe this new format will provide a more conducive environment for dialog between you and the SAEP administrators and director. Come prepared to ask a question or share a concern. Our hope is that this new orientation format will provide an excellent opportunity to help your child become more comfortable on the CSUN campus, as well as give both of you an opportunity to get to know us and the structure of the SAEP 2008. If you think joining us on the CSUN campus on June 29th would be a benefit to your family and help address some of the first day of class issues, we would love to have you join us on that Sunday.

Student Information

Personal Information

*	First Name:
*	Last Name:
	Middle Name:
*	Birth Date:	mm/dd/yyyy
*	Gender:	M F

Program/Course Information

Select the grade this student will be in next fall 6th7th8th9th10th11th12th

	Program:
	Absent Dates:	Please specify dates you plan to miss due to vacations or other obligations.
	Send Transcript:	Do you want your grades sent to the school you will attend in Fall? No Yes
*	Current School:
	School Next Fall:	(Leave blank if same as current school)

Add another student to this registration form

Registration Summary Registration Total: $0.00 Please carefully review the information you provided for yourself and your student(s) before submitting this registration form. You have two choices for payment method - online with a credit card through PayPal or by mailing in a check. If you choose the option below to pay online now using PayPal but change your mind after submitting this form, do not reregister, simply mail us a check. Comments or Questions: Payment Method: Online at PayPal Check by Mail

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