FCC Academy Student Enrollment Application
Student Enrollment Application for the upcoming 2019-2020 School Year
If you have any further question please email info@fccacademy.org or call 810-600-9550
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Email *
Student's Name *
Enter the student's full name
Parent's Name *
Enter Parent or Guardian's full name
Address/Street *
Enter your address and street name
City *
Zip Code *
Phone Number *
Enter your Phone Number in this format. ###-###-####
Current School District Attending *
Required
Grade Level for Upcoming 2019-2020 School Year *
A copy of your responses will be emailed to the address you provided.
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