School Application / Registration Form

School Application / Registration Form

Please complete the following information to apply and register.
Student Full Name

First NameLast Name
Sex
Date of Birth

DayMonthYear
Date of Birth
Grade Level Requesting Entrance to
Any other siblings enrolled
How many other siblings?
Other sibling/siblings name
Grade level
Additional siblings names and grade levels
Parent's Information
Mother's Full Name

First NameLast Name
Mother's Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mother's Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Mother's Address
Mother's Occupation
Father's Full Name

First NameLast Name
Father's Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Father's Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Father's Address
Father's Occupation
Guardian's Full Name

First NameLast Name
Guardian's Home Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Guardian's Cell Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Guardian's Address
Guardian's Occupation
Guardian's Relationship
Prior School Enrollment Information
Previous School Name Address and Last Grade Level
Emergency Contact 1
Emergency Contact 1 Name

First NameLast Name
Emergency Contact 1 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 1 Relationship
Emergency Contact 2
Emergency Contact 2 Name

First NameLast Name
Emergency Contact 2 Phone
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact 2 Relationship
Please provide any special notes or additional information here
Copies of Birth Certificate, Immunization records, Mother, Father and/or Guardian photo ID must be presented to the administrative office within one week of application submission.

All tuition must be paid BEFORE the first day of each school term. Term dates are as follows: Christmas Term-September to December, Easter Term-January to March, Summer Term – April to June.

School Report cards will not be released and late fees incurred if all balances are not paid in full. Late Fees are 2.5% for every week late after school reopens.
Electronic Signature
Signature Date

DayMonthYear
Date
Signature made by
By submitting this document electronically, you agree that your electronic signature is legally binding and has the same legal effect as a handwritten signature under the Electronic Transactions Act.
Information Source
How did you hear about Santa Cruz Preparatory School?
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School Application / Registration Form

Parent's Information

Prior School Enrollment Information

Emergency Contact 1

Emergency Contact 2

Information Source