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Colossal Academy

Online-Hybrid Admission Application

Parent/Guardian Personal Information

First name

Last name

Phone

Email

Multi-line address

Country/Region*

Address*

City*

Zip / Postal code*

This person will serve as the emergency contact for the student.

Emergency Contact Name*

Emergency Contact Phone*

Emergency Contact Relation*

Main School and Admissions: 754-444-9929

admin@colossal-academy.com

746 NE 3rd Ave
Fort Lauderdale, Florida

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