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Tabarak Ali Memorial Academy
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Intake form
Help us serve you better
Name
*
Email address
*
What is your relationship to the student?
Select
Parent
Guardian
Teacher
Community Member
What grade is the student currently in?
Select
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
What subjects are you interested in?
Please select at least one option.
Mathematics
Science
Literature
Social Studies
Art
Music
Physical Education
Computer Science
Do you require any special accommodations?
Select
Yes
No
What is the preferred method of contact?
Please select at least one option.
Phone
Email
In-Person
Additional questions or comments
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