CJI Application

To register for CJI, please fill out the form below:
Student Name *
Parent Name/s *
Street Address *
City *
State *
Zip Code *
Phone Number *
Name of student's current school *
How did you hear about CJI?

If "other," please explain
By July 1, the student will have completed the following grade in high school

Other comments or questions
Check method of payment

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