York Preparatory Academy Application for Enrollment 2017/18
Student Name (Last, First) *
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2017/18 Grade Level *
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Date of Birth *
South Carolina requires all kindergarten students to be 5 on or before 9/1/17 to begin Kindergarten in 2017/18.
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Parent/Guardian Name(s)
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Parent/ Guardian Email *
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Parent/Guardian Cell Phone *
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Parent/Guardian Home Phone
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Student Home Address *
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Student lives with *
Gender *
Current School
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Does the student applying have a sibling that attends or previously attended YPA? *
How did you hear about us? *
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