• Millpond Academy Registration

  • Additional requirements for registration 

    Bring this registration form and the following documentation to the school.

    • Birth Certificate or Passport
    • Current Immunization Record 

    A nonrefuldable deposit of $200 per child must be paid at time of registration to secure your space. Tuition payment options will be sent out with your contract. 

  • Student Information

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    Pick a Date
  • Primary Residence Information  

  • Parent/Guardian Information 

     

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  • Additional Parent/Guardian Information 

     

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  • Emergency and Medical Information

  • Emergency Contact 1

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  • Emergency Contact 2

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  • In case of an emergency I, give permission for my child,, to receive medical treatment.

  • Additional Person(s) with Permission to Pick Up/Drop Off

     

  •  Person 1

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  •  Person 2

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  •  Previous School 1

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    Pick a Date
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    Pick a Date
  • Previous School 2

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    Pick a Date
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    Pick a Date
  • Notes

  • Should be Empty:
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