Urban Pathways College Charter K-5
Student Application Form
 A separate enrollment form is needed for each child upon enrollment. Completion of this form is not a guarantee of acceptance. In the event that there are more applications received than space, the school will hold a lottery during a public meeting. After the lottery is held, a waiting list is created on a first come first serve basis. The charter school complies with applicable laws regarding non-discrimination in admission policies and practices.
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Email *
Student Information
Please fill out ALL information accurately.
Student Name (First, Middle Initial, Last) *
Sex *
Street Address *
City, State, Zip *
Student's Birth Date *
Current School Attending *
Current School District (What district are you currently living in?) *
What grade is your child currently in? *
Does your child have an IEP or 504 Plan *
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