The Gray Charter School Application - 2019/2020
Application for admission to The Gray Charter School. Admission is not guaranteed.
Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Current School Attending *
Your answer
Newark Public School registered in: *
Your answer
Current Grade *
Parent/Guardian First Name (Mother) *
Your answer
Parent/Guardian Last Name (Mother) *
Your answer
Address (Mother) *
Your answer
Home Phone (Mother) *
Your answer
Work Phone (Mother)
Your answer
Cell Phone (Mother)
Your answer
Parent/Guardian First Name (Father) *
Your answer
Parent/Guardian Last Name (Father) *
Your answer
Address (Father) *
Your answer
Home Phone (Father) *
Your answer
Work Phone (Father)
Your answer
Cell Phone (Father)
Your answer
Emergency Contact First Name *
Your answer
Emergency Contact Last Name *
Your answer
Emergency Phone (call first) *
Your answer
Emergency Phone (call next) *
Your answer
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