Academy of Coastal Carolina Interest Form

Academy of Coastal Carolina Interest Form

Thank you for your interest in the Academy Of Coastal Carolina!
Student Information
Child 1

First Name Last Name
Age
Interested in which grade?

3 Year Old PreschoolTransitional Kindergarten (4-5 year olds)Kindergarten1st3rd4th5th6th7th8th9th10th11th12th
Child 2

First Name Last Name
Age
Interested in which grade?

3 Year Old PreschoolTransitional Kindergarten (4-5 year olds)Kindergarten1st3rd4th5th6th7th8th9th10th11th12th
Child 3

First Name Last Name
Age
Interested in which grade?

3 Year Old PreschoolTransitional Kindergarten (4-5 year olds)Kindergarten1st3rd4th5th6th7th8th9th10th11th12th
Child 4

First Name Last Name
Age
Interested in which grade?

3 Year Old PreschoolTransitional Kindergarten (4-5 year olds)Kindergarten1st3rd4th5th6th7th8th9th10th11th12th
Parent Information
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Email
example@example.com
In a few words, why are you interested in sending your child(ren) to The Academy of Coastal Carolina?*
Should be Empty: