Student's Full Name, (FIRST, MIDDLE, AND LAST NAME) *
Your answer
Birth Date and Gender *
Your answer
Home Address CITY/TOWN STATE ZIP CODE *
Your answer
Student's Phone Number *
Your answer
What YEAR did you arrive in America? *
Required
PHOTO AGREEMENT
In filling out this application I grant permission for me to be included in any photos the school may use for school newsletters, web pages, promotions, etc.