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How many students are you interested in enrolling at the TEDCenter?(Required)

Student #1

Student #1 Name(Required)
MM slash DD slash YYYY
Are you interested in full-time or part-time care?(Required)
What schedule do you think you will need?(Required)
This is only to give us an idea, you will not be held to this in the future.

Student #2

Student #2 Name(Required)
MM slash DD slash YYYY
Are you interested in full-time or part-time care?(Required)
What schedule do you think you will need?(Required)
This is only to give us an idea, you will not be held to this in the future.

Student #3

Student #3 Name(Required)
MM slash DD slash YYYY
Are you interested in full-time or part-time care?(Required)
What schedule do you think you will need?(Required)
This is only to give us an idea, you will not be held to this in the future.

Student #4

Student #4 Name(Required)
MM slash DD slash YYYY
Are you interested in full-time or part-time care?(Required)
What schedule do you think you will need?(Required)
This is only to give us an idea, you will not be held to this in the future.

Student #5

Student #5 Name(Required)
MM slash DD slash YYYY
Are you interested in full-time or part-time care?(Required)
What schedule do you think you will need?(Required)
This is only to give us an idea, you will not be held to this in the future.

Parent Information

Parent/Guardian Name(Required)

Address: 3355 Dunckel Road Lansing, MI 48911

Phone: 517-708-2320

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