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Savant Preparatory Academy of Business Enrollment Interest Form (2022-2023 School Year)
Please fill in all of the enrollment form information to the best of your ability.
Demographic Information
Student Name
*
First Name
Middle Initial
Last Name
What grade level are you interested in enrolling your student in for the 2022-2023 school year
*
Transitional Kindergarten
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
If your child will be turning 5 between September 2, 2022-February 2, 2023, please select Transitional Kindergarten.
Birth Date
*
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
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12
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21
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31
Day
2016
2015
2014
2013
2012
2011
2010
2009
Year
Birth City
*
Birth State
*
Gender
*
Male
Female
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address (if different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact Phone Number
*
-
Area Code
Phone Number
Secondary Contact Phone Number
*
-
Area Code
Phone Number
Previous School of Attendance
Back
Next
Parent/Guardian Contacts
Mother/Guardian Name
*
First Name
Last Name
Mailing Address (if different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact Phone Number
*
-
Area Code
Phone Number
Secondary Contact Phone Number
*
-
Area Code
Phone Number
Mother/Guardian Email
*
Confirmation Email
Please enter email address twice for confirmation purposes.
Father/Guardian Name
First Name
Last Name
Mailing Address (if different from above)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Contact Phone Number
*
-
Area Code
Phone Number
Secondary Contact Phone Number
*
-
Area Code
Phone Number
Father/Guardian Email
Confirmation Email
Please enter email address twice for confirmation purposes.
Are you Hispanic or Latino?
*
No
Yes
Decline to Answer
Race:
*
American Indian/Alaskan Native
Asian
Black
Native Hawaiian/Other Pacific Islander
White
Decline to Answer
Siblings
Do you currently have another child or children you are interested in enrolling?
Yes
No
If you selected "yes" to the previous question, please list the name(s) and grade of other child(ren) you would like to enroll. If you have no other children to enroll, please scroll down and select "next" to finish the application.
Student #2 Name
First Name
Middle Initial
Last Name
What grade level are you interested in enrolling your student in for the 2022-2023 school year
Transitional Kindergarten
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
If your child will be turning 5 between September 2, 2022-February 2, 2023, please select Transitional Kindergarten.
Gender
Male
Female
Birth Date
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2015
2014
2013
2012
2011
2010
2009
Year
School student is currently attending
Student #3 Name
First Name
Middle Initial
Last Name
What grade level are you interested in enrolling your student in for the 2021-2022 school year
Transitional Kindergarten
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
If your child will be turning 5 between September 2, 2022-February 2, 2023, please select Transitional Kindergarten.
Gender
Male
Female
Birth Date
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2015
2014
2013
2012
2011
2010
2009
Year
School student is currently attending
Survey
Please answer these next questions to the best of your ability. Click "submit" once you have completed the application.
How did you hear about Savant Preparatory Academy of Business?
*
Family Member
Friend
Facebook
Why are you interested in Savant for your child(ren)?
*
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