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24-25 New Student Admission Form
Information about student and parents
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* Indicates required question
Email
*
Your email
Child's Name
*
Enter child's full name
Your answer
Child's Birth date
*
Enter child's date of birth
MM
/
DD
/
YYYY
Child's Gender
*
Enter child's gender
Male
Female
Prefer not to say
Name of Child's Previous School/Day care
*
Enter the name of your child's previous school/daycare. If your child has not been to a school/daycare before please enter NA or Not Applicable.
Your answer
Child's Residential Address (including city and zip code)
*
Enter child's full residential address, including city and zip code
Your answer
PARENT INFORMATION
Mother's Full Name
*
Your answer
Mother's Contact Phone Number
*
Enter area code and phone number
Your answer
Mother's Email Address
*
Enter email address
Your answer
Father's Full Name
*
Your answer
Father's Contact Phone Number
*
Enter area code and phone number
Your answer
Father's Email Address
*
Enter valid email address
Your answer
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