Bexar County Academy
Preliminary Application for Admission
Date of Application
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name
First Name
Last Name
Date of Birth
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Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Age as of September 1, 2018
Grade for 2018-2019:
Name of Previous School:
Parent/Guardian Name (print):
Parent/Guardian Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Home#:
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Area Code
Phone Number
Parent/Guardian Mobile#:
-
Area Code
Phone Number
Parent/Guardian Email:
example@example.com
By Click "Submit", I have acknowledged that the information provided is true and accurate.
Submit
Should be Empty: