Parent/Guardian's Name
*
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Address
Street Address
Street Address Line 2
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Afghanistan
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OTHER...
Phone
Dayime Phone Number
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Email
*
Personal Email Address
How did you hear about us?
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Internet Search
Word of Mouth
Drove by Campus
Newspaper
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Prospective Students Name
*
First Name
Last Name
Students Gender
*
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Male
Female
Birthdate
*
-
Month
-
Day
Year
Grade Interest In
*
Please Select
VPK
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
School Year of interest
*
Please Select
2025 - 2026
Name of Current School, if applicable
Is a sibling of the applicant currently attending this school?
*
No
Yes
Currently Enrolled Siblings Name
*
First Name
Last Name
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Will another sibling be pre-enrolling as well?
*
No
Yes
Prospective siblings information, please complete the following fields below.
Prospective Siblings Name
*
First Name
Last Name
Prospective Siblings Gender
*
Please Select
Male
Female
Prospective Siblings Birthdate
*
-
Month
-
Day
Year
Date
Prospective Siblings Grade of Interest
*
Please Select
VPK
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
Prospective Siblings School Year of Interest
*
Please Select
2023 - 2024
2024 - 2025
Name of Current School, if applicable
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Additional Information
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