Hope Academy Charter School Application for Admission (English)
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Check the grade you are applying for ( school year 2017-2018 not the current grade) *
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Child's Full Name: *
Date of Birth: *
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Sex (Choose one) *
Current School Attending: *
Name of Parent/Legal Guardian and Relationship *
Address: *
City: *
Zip Code: *
Primary Phone Number: *
Secondary Phone Number:
Email: *
Emergency Contact Information 1 (Please Enter a First and Last name and a phone number) *
Emergency Contact Information 2 (Please Enter a First and Last name and a phone number)
Emergency Contact Information 3 (Please Enter a First and Last name and a phone number)
Date of Application: *
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Do you have any siblings that have or are currently enrolled at HACS ?
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