Intent for Enrollment Application
TEAM Charter Bianchi Enrollment Form ONLY
Grade Level for 2018-2019 School Year
Your answer
Current School of Attendance
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School District
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STUDENT INFORMATION: (Please Print Clearly)
Student Legal Name: (Last, First, M.)
Your answer
Address: (Street Number, City, Zip)
Your answer
Home Number:
Your answer
Cell Number:
Your answer
Date of Birth:
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PARENT/GUARDIAN INFORMATION (Please Print Clearly)
Student currently resides with:
(Upon confirming enrollment with TEAM Charter School if the above student does not reside with both parents, we are requesting legal documentation supporting the selection above)
If the student resides with the Mother please complete the following:
(Mother) Name:
Your answer
Street Address:
Your answer
City/State/Zip:
Your answer
Home Phone:
Your answer
Cell Phone:
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Email:
Your answer
If the student resides with the Father please complete the following:
(Father) Name:
Your answer
Street Address:
Your answer
City/State/Zip:
Your answer
Home Phone:
Your answer
Cell Phone:
Your answer
Email:
Your answer
If the student resides with the Legal Guardian please complete the following:
(Legal Guardian) Name:
Your answer
Street Address:
Your answer
City/State/Zip:
Your answer
Home Phone:
Your answer
Cell Phone:
Your answer
Email:
Your answer
Sibling Information (Please Print Clearly)
If you have a sibling attending TEAM Charter School, please list below.
Sibling #1
Last Name:
Your answer
First Name:
Your answer
Current Grade Level:
Your answer
Sibling #2
Last Name:
Your answer
First Name:
Your answer
Current Grade Level:
Your answer
In order to process the Intent to Enroll Application, all areas must be complete.
(If you agree to the following statement below, please sign your name and date.)
I certify that I am the legal custodial parent/guardian of the above named student and have the authority to apply for enrollment at TEAM Charter School. *
Your answer
Date: *
Your answer
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