Middle School Admission Form

Middle School Admission Form

Please complete this form to evaluate and gather essential information.

Student Information

Name

    Date of Birth

      Gender

        • Male

        • Female

        Grade Applying For

        Current School

        Address

          Phone number

            Email

              Parent/Guardian Information

              Name of Parent/Guardian

              Relationship to Student

              Phone number

                Email

                  Academic Information

                  Previous School Name

                  Grades Attended

                  Has your child ever repeated a grade?

                  Any academic programs?

                  Medical Information

                  Does the student have any allergies or medical conditions?

                  Emergency Contact Name

                    Emergency Contact Number

                      Declaration

                      I certify that the information provided in this form is accurate and complete to the best of my knowledge.

                      Parent/Guardian

                      Name:

                      Date:

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                      Thank You for Your Submission!

                      Thank you for considering our school for your child's education.

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