ENROLLMENT QUESTIONNAIRE

Parent / Guardian Information

First Name

Last Name

Phone *

Email *

Address

City

State

Postal code

Student

First Name

Last Name

Student Birthday

Current School

Grade Level of Interest

Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
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School Year

2024 - 2025
2025 - 2026
2026 - 2027
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Additional Students

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