Edified Christian Preparatory Academy Waitlist
Date
-
Month
-
Day
Year
Date
Incoming Grade Level
Please Select
K2 (Non-Potty)
K2 (Potty)
K3 (Non-Potty)
K3 (Potty)
K4
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Name of Student
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Age
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Name
First Name
Last Name
Parent Email
example@example.com
Phone Number
Please enter a valid phone number.
School Transferring From
School Phone Number
Please enter a valid phone number.
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