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Date of Last Upload: Monday, April 8, 2024 Student Enrollment Form

  
   New Student Information
Select the Submit Application tab after you have filled in all information including students, primary and secondary family, and emergency/contacts. Use the tab buttons to select the pages to fill in the information. Required fields are bold.


Student 1

*Last Name*First NameMiddle Name*Preferred Name (Name you would like us to use in the classroom)*Date of Birth (mm/dd/yyyy)*GenderSuffixName of Resource Teacher*Grade Level*AllergiesBest # during school hour PhoneBest E-Mail*Food Restrictions*Siblings Names and AgesAdditional Comments