York Preparatory Academy Application for Enrollment 2016/17
Student Name
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Gender
Date of Birth
MM
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DD
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YYYY
2016/17 Grade Level
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Current School
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Does the student applying have a sibling that attends or attended YPA previously?
Student lives with
Student Home Address
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Parent(s)/ Guardian Name(s)
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Parent/Guardian Home Phone
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Parent/ Guardian Cell Phone
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Parent/ Guardian Email
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How did you hear about us?
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