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1
Student Name
*
This field is required.
What is the name of the applicant?
First Name
Middle Name
Last Name
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2
Grade Level
*
This field is required.
What grade level is the child applying for? (Academic Year 2022-2023)
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
Kinder
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
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3
Name of Parent or Guardian
*
This field is required.
First Name
Middle Name
Last Name
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4
Contact Number
*
This field is required.
Please enter your cellphone number.
Please enter a valid cellphone number.
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5
Email
*
This field is required.
What email address will we send the information to?
example@example.com
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