2017-18 Admissions Inquiry Form
Inquiring About: *
Student Information
Student First Name *
Your answer
Student Middle Name
Your answer
Student Last Name *
Your answer
Student Preferred Name *
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Student Gender
Intended Classroom *
Parent/Guardian Information
Parent 1 Title
Parent 1 First Name *
Your answer
Parent 1 Last Name *
Your answer
Relation to applicant:
Parent 2 Title
Parent 2 First Name
Your answer
Parent 2 Last Name
Your answer
Relation to applicant:
Contact Information
Address Line 1 *
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Address Line 2
Your answer
City *
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State *
Zipcode *
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Phone Number *
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Email Address *
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Email Address 2
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How did you learn about us?
Additional questions/comments?
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This form was created inside of The Phoenix School.