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Pride Academy Application
We're so glad you want to apply for our first Pride Academy! Please complete this quick application as thoroughly and honestly as you can.
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* Indicates required question
What is your first name (only the one you would like us to use)?
*
Your answer
What is your last name?
*
Your answer
Have you been to a Center Lane program or event before?
Choose
Yes
No
Maybe
What GRADE were you in during 2021-2022?
*
8
9
10
11
12
Other:
What is your date of birth?
MM
/
DD
/
YYYY
What is you a phone number where we can reach you?
*
Your answer
What is an email address that you check?
*
Your answer
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