2026-2027 Crescent Academy Re-Enrollment Application

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This form is for returning families seeking to re-enroll in our district.

Total living in the household *

Parent/Guardian Name: *

List all children in family & Grade Level of students attending *

Income source: Check all that apply *

Job salary

Unemployment

Social Security Benefits

DHS Benefits

Required

Enter the monthly amount for the free and reduced lunch program. *

Student Residency Questionnaire: Where does the student stay at night? Check all that apply. *

in a shelter

in a car

in a motel/hotel

temporarily with more an 1 family in a house, mobile home, or apartment (because the family does not have a place of its own)

student(s) are alone with no adults

in another location that is not appropriate for people (an abandoned house, etc...)

other (in an arrangement that is not fixed, regular, and adequate and is not described by the other choices)

at a campsite

placed in temporary foster care

If none of the above apply, check here

Required

Parent/Guardian Contact (Cell and/or Home): *

Full Home Address with City and Zip Code *

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