Student Enrollment Form
Student Enrollment Form 2020-2021
Student Information (Informacion del Estudiante)
Name (Last, First, MI) (Nombre) *
Your answer
Date of Birth (Fecha de Nacimiento) *
MM
/
DD
/
YYYY
*
Required
Home Address (Direccion) *
Your answer
City (Ciudad) *
Your answer
State (Estado) *
Your answer
Zip Code (Codigo Postal) *
Your answer
Child Resides with (Check all that apply) *
Required
Race/Ethnic Background (Raza/Origen etnico) *
Required
Mother/Guardian
Madre/Tutor
Name (Nombre) *
Your answer
Home Address (Direccion) *
Your answer
City (Ciudad) *
Your answer
State (Estado) *
Your answer
Zip Code (Codigo Postal) *
Your answer
Home Phone (Telefono de la casa) *
Your answer
Cell (Telefono cellular)
Your answer
Employer (Empleador) *
Your answer
Employer Address (Direccion del empleadaor) *
Your answer
Business Phone (Telefono del trabajo) *
Your answer
Email (Correo electronico) *
Your answer
Father/Guardian (Padre/Tutor)
Madre/Tutor
Name (Nombre) *
Your answer
Home Address (Direccion) *
Your answer
City (Ciudad) *
Your answer
State (Estado) *
Your answer
Zip Code (Codigo Postal) *
Your answer
Home Phone (Telefono de la casa) *
Your answer
Cell (Telefono Cellular) *
Your answer
Employer (Empleador) *
Your answer
Employer Address (Direccion del empleadaor) *
Your answer
Business Phone (Telefono del trabajo) *
Your answer
Email (Correo electronico) *
Your answer
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This form was created inside of FitKids, Inc. dba Champion Schools.