Date of Last Upload: Monday, May 25, 2020 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 NamePreferred Name*Date of Birth (mm/dd/yyyy)Please choose a grade level of Preschool - 8th grade for new students.*Grade Level*Gender*Church AffiliationBaptism Date (mm/dd/yyyy)*Race*Home School DistrictDoes this student have an exsisting IEP?Allergies*Image Use