Online School Admission Form
Online School Admission Form
Please take a moment to fill out this form.
Student Information
Name
Date of Birth
Gender
-
Male
-
Female
-
Address
Parent/Guardian Information
Name
Relationship to Student
Primary Phone Number
Alternative Phone Number
Academic Information
Grade Level Enrolling In
GPA
Previous School Attended (if different)
Does the student require special assistance or accommodations?
If yes, please specify
Supporting Documents
Report Card
Birth Certificate
Acknowledgement
By signing below, I confirm that the information provided is accurate and complete to the best of my knowledge.
Name:
Date:
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