School Enrollment Form
School Enrollment Form
Please complete this form to enroll your child in our school and provide necessary contact and health information.
Student Information
Name
Date of Birth
Gender
-
Male
-
Female
-
Grade/Level
Parent/Guardian Information
Name
Relationship to Student
Phone number
Address
Emergency Contact Information
Name
Relationship to Student
Phone number
Medical Information
Does the student have any allergies?
If yes, please list:
Does the student require any special accommodations?
If yes, please specify:
Previous School Information (if applicable)
Name of Previous School
Grade Completed
Reason for Leaving
Parent/Guardian
Name:
Date:
Thank you for submission!
We appreciate you taking the time to submit.
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