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Enrollment Application

Please fill out the application below and then click the submit button

Enter your name *

Enter your email address

Student Application for Enrollment

Calendar *

School Year for Application *

Student Information

Frist Name *

Middle Name

Last Name *

Current Grade *

Entering Grade

Gender *

DOB *

Age *

Address *

City *

State *

zip *

Current Grade *

County *

Current School Information

Name *

County *

State *

Type *

Siblings Enrolling with Student

Name

Current Grade

Name

Current Grade

Name

Current Grade

Name

Current Grade

Contact Information

Please be sure to give the best number to reach you. If an opening is available for your child(ren), you will be notified by phone using this number or by mail at the address below. Overflow applicants are placed on a waiting list, and you will be notified if a space opens. After you have been notified, you must submit additional information (shot records and birth certificate) with in 14 days. If you do not respond within 14 days, your spot may be given to the next student on the waiting list.

Primary Contact *

Best Number to Call *

Home *

Work

Cell

Email Address

Parent/Guardian Address

Address *

City *

State *

Zip *

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