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Parent/Guardian First Name *

Parent/Guardian Last Name *

Student First Name

Student Last Name

Email *

Phone *

Grade Level of Interest *

Academic Year

Comments

By submitting this form, I expressly consent and authorize Banning Lewis Preparatory Academy/Banning Lewis Ranch Academy to contact me at the number(s) provided via text or short message service (SMS) as well as by phone, regarding educational matters. I understand that these calls may be generated using automated technology and that message and data rates may apply, for which I will be solely financially responsible.