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Application for School Admission in multi-tabs

Student Information
Parent/Guardian Information
Emergency Contact
Signature
Application Fee
Last Name
First Name 
Middle Name 
Date of Birth
Gender
State of Birth
Country of Birth 
Home Phone 
Cell Phone
Email
Home Address 
Apt/Unit No.
City 
State
Zip Code 
Current School Name
Current Grade Level
Current School Address
City
State
Zip Code 
Grade Level of Entry 
School Year of Entry
Parent/Guardian 1
 
First Name 
Last Name 
Relationship to Student 
Marital Status
Primary Language
English
Other
Does the student live with you?
Yes
No
Home Address
Apt/Unit No.
City
State
Zip Code
Home Phone 
Work Phone
Cell Phone 
Email
Employer
Occupation
 
Parent/Guardian 2
 
First Name
Last Name
Relationship to Student
Marital Status
Primary Language
English
Other
Does the student live with you?
Yes
No
Home Address
Apt/Unit No.
City
State
Zip Code
Home Phone
Work Phone
Cell Phone
Email
Employer
Occupation
Emergency Contact 1
 
First Name 
Last Name 
Relationship to Student 
Phone Number
 
Emergency Contact 2
 
First Name 
Last Name 
Relationship to Student 
Phone Number 
We certify that the information provided in this form is true and correct.
 
Parent/Guardian 1 Signature
Parent/Guardian 2 Signature
The Application Fee of $100.00 must be paid and it is non-refundable.
 
 
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