Enrollment Form

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* REQUIRED INFORMATION

APPLICATION FOR ADMISSION

APPLICATION DATE

APPLYING FOR GRADE

IS THIS NEW STUDENT A SIBLING OF A CURRENTLY ENROLLED STUDENT?

YesNo

I am enrolling my child for:

STUDENT INFORMATION

LAST NAME*

FIRST NAME*

MIDDLE INITIAL

BIRTH DATE

ADDRESS*

HOME PHONE NUMBER

CITY*

STATE

ZIP CODE

PREVIOUS SCHOOL

GRADE

COUNTY

CITY

FAMILY INFORMATION

PARENT/GUARDIAN'S NAME

EMAIL ADDRESS*

HOME PHONE

CELL PHONE

WORK PHONE

ADDRESS

CITY

STATE

ZIP CODE

Please download, fill in, and print the Enrollment Package provided down below. It must be returned to the school for the student that is going to be admitted. Please print clearly with blue or black ink being sure to include the student's name and phone number at the bottom of each page of each form. This is to ensure that we have the correct information for each student, should the pages of the documents be separated.

I have downloaded the packet and will return it to the school before the student's enrollment