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info@theremnantleadership.com
Remnant Leadership Academy Application Form
Student First Name
*
Student Last Name
*
Parent/ Guardian First Name
*
Parent/ Guardian Last name
*
Second Parent First and Last Name (optional)
Student Date Of Birth
*
Month
Day
Year
Student Current Grade Level
*
Current Schooling Model
*
Parent Email
*
Parent Phone
*
City/ Area
*
Interested in (Select all that apply)
*
Remnant Leadership Academy (Grades 6-12) - Fridays **Starting August**
3x3 Basketball Play Lab (Grades 4-8) - Thursdays 10:00am - 2:00pm
Summer STEM + Literacy (Grades K-5)
Summer 3x3 5-Day Development Clinic (Grades 3-5) - June 22 - 26
School Year
2026 - 2027 (Next School Year)
Method of Payment
*
STEP UP Scholarship
Self-pay
Apply
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