Student's Name
*
Address
Birthday
*
Age
*
Current Grade Level
*
What grades, if any, were repeated?
*
Mother's Name
*
Cell
*
Email
*
example@example.com
Father's Name
*
Cell
*
Email
*
example@example.com
Additional Emergency Contact
*
Relationship
Phone
*
Format: (000) 000-0000.
Address
Allergies/Medical Concerns
*
Social/Academic Concerns
*
Social/Academic Goals for this school year
By typing my name, I acknowledge that there is a $250 nonrefundable registration fee that will be due at the appointed interview time if my child is invited to attend FCH.
*
Interviews and tours can only be scheduled on Fridays from 12-3. Please select a Friday and someone will be in touch to schedule a time.
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Month
-
Day
Year
Date
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