Millikan Affiliated Charter and Performing         Arts Middle School                               Registration and Elective Selection:                                2021-2022 School Year                                          

DUE DATE: PLEASE SUBMIT THIS FORM ON OR BEFORE June 7, 2021.

Please complete the following information so that we can plan for our fall enrollment, Summer Bridge program, and to ensure that your child's counselor can create a schedule that best meets your student's needs.
Email *
What is your student's legal LAST name? *
What is your student's  legal FIRST name? *
What is your student's date of birth ? (MM/DD/YYYY) *
Have you completed the registration process for your student? *
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