2018-2019 Enrollment Form
Email address *
Child's Full Name *
Your answer
Nickname
Your answer
Birth Date *
MM
/
DD
/
YYYY
Gender *
Does your student have a medical diagnosis that requires medication at school? *
If yes please briefly explain the diagnosis:
Your answer
Please list the desired class/classes FIRST CHOICE: *
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Our classes fill up quickly, please type in a second choice:
Your answer
Special placement requests (Admission placement is at the discretion of FPP. Requests are not guarenteed.)
Your answer
Student's previous school experiences *
Your answer
List other children (include age & school) or adults (other than parents) living in the home
Your answer
Father/Stepfather/Legal Guardian Name (First & Last) *
Your answer
Active Military *
Father Address (Include City & Zip) *
Your answer
Father Cell Phone *
Your answer
Father Email address *
Your answer
Father Employer *
Your answer
Father Job Title
Your answer
Mother/Stepmother/Legal Guardian Name (First & Last) *
Your answer
Active Military? *
Mother Address (Include City & Zip) *
Your answer
Mother Cell Phone *
Your answer
Mother Email Address *
Your answer
Mother Employer *
Your answer
Mother Job Title
Your answer
Parents Marital Status *
If parents are divorced or were never married, who has legal custody of the child?
Your answer
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