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Academy of St. Benedict the African School
STUDENT REGISTRATION FOR THE 2024-2025 SCHOOL YEAR - PK - Children must be 3 by 9/1/24 and potty trained. To enter Kindergarten, children must be 5 by 9/1/24 (this is the state law).
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Email
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Parent Email
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Your answer
Student Information
Student Last name:
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Your answer
Student First name:
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Your answer
Middle Name
Your answer
Gender
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Male
Female
Date of Birth
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(mm/dd/yyyy)
MM
/
DD
/
YYYY
Is this child Oldest or Only?
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Yes
No
Is this child Youngest or Only?
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Yes
No
Race
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African-American
Hispanic
Multi-racial
Caucasian
Other:
Ethnicity -
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Asian
African-American
Hispanic/Latinx
Native American
Pacific Islander
White
Mixed Race
Other:
Is this child a new or returning student?
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New
Returning
Grade Level (Next School Year)
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Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Religion
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Catholic
Non-Catholic
Last School Attended
(if different from Academy of St. Benedict)
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Medical Information
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Please list any allergies, special medical concerns or medical alerts
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Do you have another student to register at Academy of St. Benedict the African
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