2023-2024 Enrollment Form
Please fill out this form for 1-8 enrollment.  Fill the entire form out for first child, next child(ren) start a new form, but just fill out the first section.
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Email *
Child's first name
Child's middle name
Child's last name
Grade (2023-2024)
Child's date of birth
MM
/
DD
/
YYYY
Gender
Clear selection
Race
Religion
Clear selection
Street Address
City, State, Zip
Mailing address (if different)
Home phone
Medical alerts that the school should be aware of...
Family physician
Physician phone number
Name of person to call if parent cannot be reached (emergency contact)
Emergency contact phone number
Next
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