Enrollment Form

Urban Academy Charter School

Registration Form
Dear Parent/Guardian:
Thank you for your interest in enrolling your child at Urban Academy Charter School. Urban Academy is a PrK-8 public elementary charter school that welcomes you and your child to our school.
Please complete the following information for enrollment considerations. For additional information or questions, please feel free to contact us at 651-215-9419.
Student Name *

First Name Last Name
Middle Initial
Enrolling Grade *
Parent Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Signature

Clear
Should be Empty:

Urban Academy Charter School