Enrollment Application
Curiosity Grove Academy
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Occupation
*
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Residential Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Learner 1
*
First Name
Last Name
Learner's Date of Birth
*
-
Month
-
Day
Year
Date
Gender
*
Please Select
Male
Female
Name of last school
*
Grade level this fall
*
Please Select
kindergarten
first grade
second grade
third grade
fourth grade
fifth grade
Last school result
*
Promoted (passed)
Failed
Reason for leaving last school
*
Learner 2
First Name
Last Name
Learner's Date of Birth
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
Name of last school
Grade level this fall
Please Select
kindergarten
first grade
second grade
third grade
fourth grade
fifth grade
Last school result
Promoted (passed)
Failed
Reason for leaving last school
Learner 3
First Name
Last Name
Learner's Date of Birth
-
Month
-
Day
Year
Date
Gender
Please Select
Male
Female
Name of last school
Grade level this fall
Please Select
kindergarten
first grade
second grade
third grade
fourth grade
fifth grade
Last school result
Promoted (passed)
Failed
Reason for leaving last school
Submit Application
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