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OCYES Youth Enrollment Form
Student's First Name
Student's Last Name
Parent/Guardian First Name
Parent/Guardian Last Name
Age
Grade Level
City in Oakland County
Email
Phone Number
Program You Want to Enroll In
Program You Want to Enroll In
Academic Tutoring
IT Certification Training
Tutoring Subjects
(Select all that apply)
Math
Reading & Language Arts
Other
IT Certifications Interested In
(Select all that apply)
CompTIA A+
Network+
Security+
Other IT Cert
Additional Information / Questions / Best Times to Meet
Checkbox Field
I confirm this is for a youth in Oakland County and agree to be contacted by OCYES.
Your information is secure and will only be used to process your enrollment.
Submit Enrollment Request
