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Avalon/ Mary B. Henry Academy Site - Enrollment Interest Form

Please fill out this form if you are interested in enrolling at YouthBuild Charter School of California's Avalon site at Mary B. Henry Academy. Required fields marked with an asterisk *

Contact Information

First Name*

Answer Required

Last Name*

Answer Required

Email Address*

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Phone Number*

Number Required

How would you like us to contact you?*

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Phone Call

Text

How old are you?*

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What is your zip code?*

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Is there anything you'd like to share with us about why you want to enroll?

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Confirmation Email

Email Required