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This application is for the 2021-22 School Year. If you have questions, please contact the office directly at 626-322-7217.
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* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Mailing Address
House Number and Street Name
*
Your answer
City
*
Your answer
State
*
Your answer
Zip Code
*
Your answer
Contact Information
Cell Phone Number
*
Your answer
Email Address
*
Your answer
Demographics
Student Date of Birth (##-##-####)
*
Your answer
Gender
*
Male
Female
Birth City
*
Your answer
Birth State
*
Your answer
Birth Country
*
Your answer
If born outside the United States, when did the student first enter? (Month/Year)
*
Not applicable
Other:
Required
What is the ethnicity of the student?
*
Hispanic or Latino
Not Hispanic or Latino
Decline to State
Other:
Required
What is your child's race? (Optional. Note: The question above is about ethnicity, not race. You may select one or more boxes to indicate your child's race.)
*
American Indian or Alaska Native
Filipino
Korean
Tahitian
Asian Indian
Guamanian
Laotian
Vietnamese
Black or African American
Hawaiian
Other Asian
White
Cambodian
Hmong
Other Pacific Islander
Chinese
Japanese
Samoan
Decline to State
Other:
Required
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