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Elementary Enrollment Form 2024-2025
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* Indicates required question
Student Name
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Campus Location
Fort Smith
Greenwood
Clear selection
Grade Level
*
Choose
PK4
Kindergarten
1st
2nd
3rd
4th
5th
6th
Age
*
Your answer
Father's Name
*
Your answer
Father's Cell Phone
*
Your answer
Father's Email
*
Your answer
Use Father's email for school announcements and teacher communications?
*
Yes
No
Mother's Name
*
Your answer
Mother's Cell Phone
*
Your answer
Mother's Email
*
Your answer
Use mother's email for school announcements and teacher communications?
*
Yes
No
Street Address
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Number of Years Homeschooling
Your answer
Emergency Contact Person if Parents are Unavailable
*
Your answer
Student's Relationship with the Emergency Contact
*
Your answer
Emergency Contact Phone Number
*
Your answer
List any person other than parents who may be picking up this student from Grace Academy. Any person unknown to staff at Grace Academy needs to present a photo ID to pick up student and must be on this list
*
Your answer
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