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Hillcrest School Registration 2022-2023
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* Indicates required question
Email
*
Your email
Date of Application
*
MM
/
DD
/
YYYY
Student Name (First middle last)
*
Your answer
Student Gender
*
Female
Male
Student Grade Level for the 2022-2023 school year.
*
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
7th grade
8th grade
9th grade
Student Date of Birth
*
MM
/
DD
/
YYYY
Student Place of Birth
*
Your answer
Student Street Address
*
Your answer
Student City
*
Your answer
Student Zip Code
*
Your answer
Student Phone Number (leave blank if student does not have a phone)
Your answer
Student Email Address (gmail required for students in grades 7-9)
Your answer
Student Race/Ethnicity
*
Hispanic
American Indian
Asian
Black
Pacific Islander
White
Other:
Student Baptized
*
Yes
No
Student's Church Membership location
Your answer
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