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Open Enrollment Application 2019-20
Open Enrollment is contingent upon availability of space and applications made between May 1 - August 1, 2019.
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* Indicates required question
Student Last Name
*
Your answer
Student First Name
*
Your answer
Student Middle Name/Initial
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Grade Level for 2019-2020
*
Choose
K
1
2
3
4
5
6
7
8
9
10
11
12
N/A
Parent/Guardian Name
*
Your answer
Parent/Guardian Address (Street)
*
Your answer
Parent/Guardian Address (City)
*
Your answer
Parent/Guardian Address (State)
*
Your answer
Parent/Guardian Address (Zip Code)
*
Your answer
Parent/Guardian Email Address
Your answer
Parent/Guardian Mailing Address (if different from physical address) - Street
Your answer
Parent/Guardian Mailing Address (if different from physical address) - City
Your answer
Parent/Guardian Mailing Address (if different from physical address) - State
Your answer
Parent/Guardian Mailing Address (if different from physical address) - Zip Code
Your answer
Parent/Guardian Phone Number
*
Your answer
School District of Residence
*
Your answer
Registration Acknowledgement
*
By checking this box I acknowledge that my student must be registered in resident district before this application will be processed.
Required
District & School Attended in 2018-19:
*
Your answer
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