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Urban Academy Returning Student Form 
This form is to inform us of your Scholar's status for the 2024-2025 School Year. Please complete this form with next school year in mind. Feel free to reach out to our Enrollment Coordinator with any questions. 
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Parent/ Guardian Name  *
Parent/Guardian Phone # *
Parent/Guardian Email Address *
Preferred Means of Communication *
Required
How many students do you have at Urban Academy *
Required
Student's Name *
Student's Current Grade *
Student's Name
Student's Name
Student's Current Grade
Clear selection
Student's Name
Student's Current Grade
Clear selection
Student's Name
Student's Current Grade
Clear selection
Student's Name
Student's Current Grade
Clear selection
Do you have other children that you would like to enroll for the 24/25 school year? If so, please include their names, below. 
Please select *
Required
Would you like to make any student referrals?
Please provide Parent/Guardians email address.
E-Signature of Parent/Guardian confirming that you attest to the information provided and are in agreement with your students' spot being held or released based on your previous selection.  *
Date *
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