WSP Registration
This form is required as the first step to registering at Wellspring Academy.
Student First (Given) Name.
Please use Upper Case ONLY for first letter of name.
Your answer
Student Last (Surname) Name
Please use Upper Case ONLY for first letter of name.
Your answer
Father's First (Given) Name
Please use Upper Case ONLY for first letter of name.
Your answer
Father's Last (Surname) Name
Please use Upper Case ONLY for first letter of name.
Your answer
Mather's First (Given) Name
Please use upper case for first letter only
Your answer
Mother's Last (Surname) Name
Please use upper case for first letter only
Your answer
Mother's e-mail
This email will be used to complete the registration process.
Your answer
Father's e-mail
This email will be used to complete the registration process.
Your answer
Father's Phone Number
We will use this number for contact regarding the student.
Your answer
Mother's Phone Number
Your answer
Grade Choice
Check the box for the grade required for Sept 2015
Date of Birth
MM
/
DD
/
YYYY
Returning Family?
Please indicate If you are Wellspring Alumni.
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