GEO Prep Mid-City Enrollment Inquiry Form
Complete this form to submit your enrollment Inquiry for the School Year 2017-2018. Please note that completing this form does not guarantee a seat for your child. You will be contacted by the school about your enrollment request.

Please complete one form for each child

Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Middle Name
Your answer
Student's Birthday 00/00/0000 *
Your answer
Gender
Are you a Returning Student from Mid-City Charter School?
Child's Grade Level in 2017-2018 School Year *
Last School Attended?
Your answer
Parent/Guardian Last Name, First Name
Your answer
Relationship to Student
Cell Phone Number: 000.000.0000
Your answer
Home Phone Number: 000.000.0000
Your answer
Parent/Guardian E-mail Address
Your answer
Home Address
Your answer
City
Your answer
State
Your answer
Zipcode
Your answer
Does this student have brothers or sisters who attended Mid-City Charter School? If Yes, please list name and grade below:
Your answer
Secondary Contact Name:
Your answer
Secondary Contact Primary Phone Number:
Your answer
How did you hear about GEO Prep Mid-City of Greater Baton Rouge?
Submit
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