2020 -2021 Open Enrollment
Interdistrict Open Enrollment Application
Name of the student *
Student date of birth *
MM
/
DD
/
YYYY
Ethnicity *
City of birth *
Grade level for school year requested *
District of residency *
Current School attended *
Is student presently enrolled In any special education or tutorial programs? *
Name of Parent(s) *
Legal guardian(s} *
Mailing address *
City, State, and Zip Code *
Phone Number *
Reason for open enrolling your child *
Parent Signature (Please type in the Parent Name) *
Submit
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