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1st-12th Grade CVCS Enrollment Application for 2023-2024
Section 1 - Student Information
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Student First Name
*
Your answer
Student Last Name
*
Your answer
Grade
*
Your answer
Student Birthdate
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MM
/
DD
/
YYYY
Parent/Guardian Name #1
*
Your answer
Relationship to Student
*
Your answer
Parent/Guardian Name #2
Your answer
Relationship to Student
Your answer
Home Address
*
Your answer
Mailing Address (if different from home)
Your answer
Parent/Guardian #1 Cell Phone
*
Your answer
Parent/Guardian #2 Cell Phone
Your answer
Parent/Guardian Email
*
Your answer
Which school did your child attend before?
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Your answer
How did you hear about our program?
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Your answer
Does your child have siblings? If so, what are their names and ages?
Your answer
Does your child have any medical or physical condition which would be helpful for us to know about? If so, please explain below.
Your answer
Does your child have any food or other allergies?
Your answer
If parent or guardian cannot be reached during school hours, please list 2 emergency contact names, relationship to student, and phone numbers.
*
Your answer
Who is authorized to pick up your child other than parents or guardians? (Note: ID will be required before we release your child to someone else.) Please give 2 names, phone numbers, and relationship to student.
*
Your answer
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