Enrollment Form 2020-2021 Grades 1-8 International

ENROLLMENT FORM 2020-2021 GRADE 1-8 INTERNATIONAL
Priority re-enrollment is held for current school families before classroom space is made available to the community.
Please submit a check for $100 after this online form submission to the school office on or before March 17, 2019. Please note that this payment is non-refundable, and will apply to the registration fee of $450. The balance of the registration fee, international fee, and the technology fee is due on or before May 15, 2019. After that date, a $75 late fee will be assessed. No student may begin the school year without all fees being paid in full.
Student Information
Student Name *

First Name Last Name
Grade in Fall 2020 *

Address *

Contact Email Address *
example@example.com
Parent / Guardian Information
Father's Name

First Name Last Name
Father's Phone Number
Mother's Name

First Name Last Name
Mother's Phone Number
Guardian's Name

First Name Last Name
Guardian's Phone Number
Parent Consent
Parent / Guardian Signature *

Clear
Printed Name *
Relationship to Child *
NON-DISCRIMINATION POLICY: Emmaus Lutheran School and Preschool admits students of any race, color or national origin or ethnic origin to all of the rights, privileges, programs and activities generally made available to students in the school. Emmaus Lutheran School and Preschool does not discriminate on the basis of race, color, or national origin or ethnic origin in administration of its policies, admissions policies, and scholarship/financial aid programs and athletic and other school administered programs.
Emmaus Lutheran School | 840 South Almansor Street, Alhambra, Ca. 91801 | 626-289-3664
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ENROLLMENT FORM 2020-2021 GRADE 1-8 INTERNATIONAL