Lakeland STAR School/Academy Enrollment Application
Please fill out the following questions. We will get back to you as soon as possible! Direct questions can be sent to Kaitlin Miesbauer through email- miesbauerk@lakelandunion.org or through phone at 715.358.5259 ext. 4000. 
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Student Name *
Student date of birth *
MM
/
DD
/
YYYY
Students Age *
Students grade going into the 2026/27 school year? *
Students current school *
Students Primary Address (street address, town, state, zip) *
Parent/Guardian Name *
Relationship *
Address (if different) *
Parent/Guardians Primary Phone Number *
Work Phone
Parent/Guardian email *
Other Comments
I certify my electronic signature, (electronically sign below) *
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