Deadline to apply is Friday, July 28, 2023.
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Application Date *
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Child's Name First - Middle - Last Name *
Child's Race *
Child's Gender *
Child's Date of Birth *
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Parent/Guardian's Email *
Parent(s) Name or Guardian(s) *
Child's Residential Address ~ Street, City & Zip Code *
Child's Mailing Address ~ The address used to receive your mail.  If you have a Post Office Box number, we must have that. *
Parent's Phone/Cell Number *
District of Resident of Custodial Parent/Guardian's  *
Grade for 2023-24 *
Explain reason for transfer *
Suspension/Expulsion  ~  Has your child been suspended or expelled from ANY school district for ten consecutive days or more? *
If you selected Yes to the above question, submit explanation.
Special Programs -  *
Does your child require Other Special Programs? *
Non-Discriminatory Statement
No student shall be denied admission to the Millcreek-West Unity Local School District or to a particular course or instructional program or otherwise discriminated against for reasons of race, color, national origin, sex, handicap, or any other basis of unlawful discrimination.
Parent/Guardian Signature ~ Your signature certifies all the above information is correct *
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