Student Information
Email address *
First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Current Grade *
Your answer
Baltimore City Schools ID# (if known):
Your answer
Parent/Guardian Name *
Your answer
Relationship to child *
Your answer
Are you the legal guardian of the child? *
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Cell Number *
Your answer
Best means of contacting parent/guardian *
Your answer
Does your child have a sister applying to LMCJS? *
If so, Name of Sister:
Your answer
Signature (Please initial) *
Your answer
Relationship *
Your answer
How did you learn about us? *
Who referred you? *
Your answer
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