2022 - 2023 Application

2022 - 2023 Enrollment Application
***One Application PER child is required***
Student Information
Student's Name *

First Name Last Name
Which grade level are you applying for? *

K 1 2 3 4 5 6 7 8
Gender *

Male Female
Birth Date *

Month Day Year
Current School Attending *
County of the school your child is currently attending *
State of the school your child is currently attending *
Are you requesting transportation? *

Yes No
Were you referred by anyone? If yes, please provide their full name in the box.
How Did You Hear About Athenian Academy? *
Why are you interested in enrolling your child at Athenian Academy? *
Parent/Guardian Information
Student Lives With *

Both Parents Father Mother Other Guardian
Parent/Guardian 1 *

First Name Last Name
Best Phone Contact Number *

Area Code Phone Number
E-mail Address (This is utilized to inform you if accepted) *
Mailing Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Parent/Guardian 2

First Name Last Name
Best Phone Contact Number

Area Code Phone Number
E-mail Address (This is utilized to inform you if accepted)
Is the Student a dependent of active-military personnel? *

Yes No
Student Siblings
Does the applicant have a sibling currently attending Athenian Academy of Technology and the Arts? *

Yes No
Name

First Name Last Name
Please List All Siblings Who Will Be Applying For Admission To Athenian Academy. *Important Note: You Must Complete A Separate Application For Each Student*
Sibling 1

First Name Last Name
Which grade level are you applying for?

K 1 2 3 4 5 6 7 8
Sibling 2

First Name Last Name
Which grade level are you applying for?

K 1 2 3 4 5 6 7 8
Sibling 3

First Name Last Name
Which grade level are you applying for?

K 1 2 3 4 5 6 7 8
Sibling 4

First Name Last Name
Which grade level are you applying for?

K 1 2 3 4 5 6 7 8
Digital Signature *
Today's Date *
Should be Empty:

2022 - 2023 Enrollment Application

Student Information

Parent/Guardian Information

Student Siblings