Language
English (US)
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Enrollment Application
Application Date:
-
Month
-
Day
Year
Date
School Year (ex. 2026-27):
Campus
DeSoto
Grand Prairie
Illinois
Pleasant Grove
Sunnyside
Check Enrolling Grade:
PK3
PK4
KG
1st
2nd
3rd
4th
5th
6th
7th
8th
Student Information
Student's Name
First Name
Last Name
Middle Initial (optional)
Gender
Male
Female
Birth Date
-
Month
-
Day
Year
Date
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Home Phone (with area code)
Format: (000) 000-0000.
Primary Language Spoken:
English
Spanish
Other
Parent/Guardian Information
Who Child Lives With:
Both Parents
Father
Mother
Step Mother
Step Father
Other Guardian
Father's Name
First Name
Last Name
Middle Initial (optional)
Cell Phone #
Format: (000) 000-0000.
Work/ Home Phone (with area code)
Format: (000) 000-0000.
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mother's Name
First Name
Last Name
Middle Initial (optional)
Cell Phone #
Format: (000) 000-0000.
Work/ Home Phone (with area code)
Format: (000) 000-0000.
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address:
example@example.com
Parent/Guardian Signature
Printed Name
Relationship to Student
Today's Date
-
Month
-
Day
Year
Date
It is the policy of Golden Rule Schools, Inc. to prohibit discrimination in admission policy on the basis of sex, national origin, ethnicity, religion, disability, academic, artistic, or athletic ability.
Submit
Should be Empty: