Request to Register at EBS
Please fill out this form if you would like to register your student at EBS. We will review your information and if you are qualified to register we will send you the registration materials.

DO NOT fill out this form unless you have been accepted through Choice or live in the EBS area. Thank you. If you have any questions please contact Miss Krissy at
Student's first name *
Student's last name *
Clear selection
Student's birthday *
Parent's name *
Family address. Please include street address and zip code *
Parent phone number *
Parent email address *
2021-2022 School Year Grade Level *
Student's current school of attendance, if applicable
Is your child in any of the categories listed below: *
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