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Re-Enrollment Form 2023-2024 School Year
It is time to secure your child's spot for next year!! Please complete the entire form
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* Indicates required question
Email
*
Your email
*
Yes, my child will be returning for the upcoming year
No, my child will not be returning
Not sure, (spot not secured)
Student First Name
*
Your answer
Student Last Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Current Grade
*
Choose
k
1
2
3
4
5
6
7
8
Student #2 First Name
Your answer
Student #2 Last Name
Your answer
#2-Date of Birth
MM
/
DD
/
YYYY
Current Grade
Choose
k
1
2
3
4
5
6
7
8
Student #3 First Name
Your answer
Student #3 Last Name
Your answer
#3-Date of Birth
MM
/
DD
/
YYYY
Current Grade
Choose
k
1
2
3
4
5
6
7
8
Any recommendation for next year teacher (optional)
Your answer
New Enrollment of Siblings: please list first & last name and their grade:
Your answer
New Enrollment of Siblings: please list first & last name and their grade:
Your answer
Street Address:
*
Your answer
City, and Zip code:
*
Your answer
Parent/Guardian contact number:
*
Your answer
Emergency Contact Name
Your answer
Emergency Contact Number
Your answer
Emergency Contact Name
Your answer
Emergency Contact Number
Your answer
Parent/Guardian email address:
*
Your answer
Will your child(ren) be riding the school bus ?
*
Yes
NO
Electronic Signature: Parent/ Guardian (FIRST & LAST NAME PLEASE)
*
Your answer
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