Prospective Student Application for 6th Grade (SY19-20) <DREAMHOUSE 'EWA BEACH>
Aloha Parents of Prospective Students,

DreamHouse 'Ewa Beach is an approved, public charter school in pre-opening status. The school will open in August 2019, serving a 6th grade of 100 children.

The form below is an application to DreamHouse 'Ewa Beach for the founding class of 100 6th grade students. The completion and submission of this application signifies your intent to enroll your child at DreamHouse 'Ewa Beach public charter school for the 2019-20 school year. After submitting this form, please submit the INTENT TO ENROLL Form on the homepage of www.DreamHouseEwaBeach.org.

Mahalo for your interest!

DreamHouse 'Ewa Beach
PROSPECTIVE STUDENT #1 INFORMATION
Child's First Name *
Your answer
Child's Last Name *
Your answer
Home Street Address *
Your answer
Home City *
Your answer
Home State *
Required
Home Zip Code *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Child's Current School *
Your answer
Child's Current Grade *
Your answer
Grade Child is Applying For *
SIBLING #1 INFORMATION (PROSPECTIVE STUDENT #2)
If applicable.
Sibling #1 First Name
Your answer
Sibling #1 Last Name
Your answer
Sibling #1 Date of Birth
MM
/
DD
/
YYYY
Sibling #1 Current School
Your answer
Sibling #1 Current Grade
Your answer
Grade Sibling #1 is Applying For
SIBLING #2 INFORMATION (PROSPECTIVE STUDENT #3)
If applicable.
Sibling #2 First Name
Your answer
Sibling #2 Last Name
Your answer
Sibling #2 Date of Birth
MM
/
DD
/
YYYY
Sibling #2 Current School
Your answer
Sibling #2 Current Grade
Your answer
Grade Sibling #2 is Applying For
PRIMARY PARENT / GUARDIAN INFORMATION
Primary Parent / Guardian’s First Name *
Your answer
Primary Parent / Guardian’s Last Name *
Your answer
Home Street Address *
Your answer
Home City *
Your answer
Home State *
Required
Home Zip *
Your answer
E-mail *
Your answer
Phone *
Your answer
SECONDARY PARENT / GUARDIAN INFORMATION
Secondary Parent / Guardian’s First Name
Your answer
Secondary Parent / Guardian’s Last Name
Your answer
Home Street Address
Your answer
Home City
Your answer
Home State
Home Zip
Your answer
E-mail
Your answer
Phone
Your answer
Submit
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