Student Enrollment Form
Please Complete all applicable fields
Full Name
Your answer
Gender
Grade Entering
Address
House number, street, city, state, zip code
Your answer
Email
Your answer
Phone number
(000) 000-0000
Your answer
On the above phone, can you...
Date of Birth
MM/DD/YYYY
Your answer
Does the student intend to stay in the dorm at Spring Vale?
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