2018-2019 Elementary Student Enrollment Application
This application will add your student to the waitlist for the school year, 2018-2019.
Student First Name *
Your answer
Student Last Name *
Your answer
Student Address *
Your answer
Student Grade (2018-2019) *
Parent First Name *
Your answer
Parent Last Name *
Your answer
Parent Email Address *
Your answer
Parent Cell Phone Number *
Your answer
Secondary Parent First Name *
Please put NA if not applicable.
Your answer
Secondary Parent Last Name *
Please put NA if not applicable.
Your answer
Secondary Parent Email Address *
Please put NA if not applicable.
Your answer
Secondary Parent Cell Phone Number *
Please put NA if not applicable.
Your answer
Do you currently have any siblings enrolled at Cumberland Academy or The Leadership Academy? *
How did you hear about us? *
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