JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Millennium Christian Academy Re-Enrollment Form
For returning students. Re-enrollment from April 4-12, 2024
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Date
*
MM
/
DD
/
YYYY
Student Name
*
Write student name and last name.
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Required
Residential Adress
*
Street/Apartment # City, State and Zip code
Your answer
Mail Address (if different from above)
Your answer
Grade Next School year 2024-25
*
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Ethnicity:
Is your student Hispanic/Latino?
Yes
No
Clear selection
Race:
White
African American/Black
American Indian/Native Alaskan
Asian
Native Hawaiian or Pacific Islander
Clear selection
Student lives with:
*
Both Parents
Parent and Step Parent
Mother Only
Father Only
In Foster Care
Other:
Will your child participate of the Before/After School Program for the next school year 2024-25?
Yes
No
Maybe
Clear selection
Enrolling Parent/Guardian Name
*
Your answer
Telephone Number:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
