New Day Charter School - New Student Enrollment Survey [2023-24 School Year]
Thank you for taking the time to fill out this information survey. Filling out this survey DOES NOT enroll you or your child at New Day. This survey notifies our administration staff that you are interested in learning more about our school and the great opportunities we provide for our students. After you complete the survey and click the submit button, our staff will be notified. We will be in contact with you in the near future to provide you with more information.

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Question *
Last Name *
Please enter the Student's Last Name
First Name *
Please enter the Student's First Name
Middle Name *
Please enter the Student's full Middle Name
Age *
Please enter the Student's Age
Date of Birth *
Please enter the Student's Date of Birth in the following format: mm/dd/yyyy
Does the student receive special education services? *
Please select yes or no
Grade Level *
Please select Student's Grade Level
Gender
Please select Student's Gender
Home Phone *
Please enter the Student's Home Phone number (permanent residence)
Cell Phone
Please enter mobile phone number
Email Address
Please enter the Student's Email Address
Street Address *
Please enter the Student's Street Address (permanent residence)
PO Box or Second Address Line (Optional)
Please add second address line or PO Box
City *
Please enter the Student's City of Residence
State *
Please enter the Student's State of Residence
Zip Code *
Please enter the Student's Zip Code
School District of Residence
Please enter the School District where you llive
Transportation
Choose your transportation preference.
Parent/Guardian Information
Please enter the following information for the Student's Parent or Guardian
Parent/Guardian First Name *
Please enter the Parent's or Guardian's First Name
Parent/Guardian Last Name *
Please enter the Parent's or Guardian's Last Name
Relationship *
Please enter the Parent's or Guardian's relation to Student
Parent's or Guardian's Home Phone *
Please enter Parent's or Guardian's Home Phone number
Parent's or Guardian's Cell Phone
Please enter Parent's or Guardian's Cell Phone number
Parent's or Guardian's Home Address *
Pleeae enter Parent's or Guardian's Home Address
Parent's or Guardian's PO Box or Second Address Line (Optional)
Please enter Parent's or Guardian's second address line or PO Box
Parent's or Guardian's City *
Please enter Parent's or Guardian's City
Parent's or Guardian's State *
Please enter Parent's or Guardian's State
Parent's or Guardian's Zip Code *
Please enter Parent's or Guardian's Zip Code
Best Time to Contact Parent or Guardian
Please select a time frame
Best Phone Number to reach Parent or Guardian
Please select a number
Why did you choose to attend New Day Charter School? *
How did you hear about New Day Charter School? *
Nondiscriminatory Statement
New Day Charter School prohibits discrimination against its students and employees on the bases or race, color, national origin, age, disability, sex, gender identity, religion, reprisal, and where applicable, political beliefs, marital status, familial or parental status, sexual orientation, or all or part of an individual’s income is derived from any public assistance program.
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