Muskegon Heights Public School Academy System Enrollment Form

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NOTE: Your submission requires an overnight to process. Please complete and submit this form at least one business day before you plan to visit the building office to complete enrollment. Enrollment is not complete until you provide the required documentation and sign all required forms at the appropriate building office.

Email *

School Year *

Please select the school year in which your student will begin attending.

2025-2026

Student Information

Student's legal name is required as listed on the Birth Certificate.

Student Name - First *

Student Name - Middle *

Student Name - Last *

Student Name - Suffix

Jr.

Sr.

III

Select one, if applicable

Clear selection

Birthdate *

YYYY

Gender *

Please select F for Female or M for Male

Other:

Is your student Hispanic or Latino? *

Yes

Race *

American Indian or Alaska Native

African American

Asian American

Hispanic or Latino

Native Hawaiian/Pacific Islander

White

Two or more races

Other:

Grade Entering *

For Young 5 and Kindergarten, please select 0.

Muskegon Heights PSAS Building of Residence *

Select the building where you reside. This is not to be used for internal school of choice.

Edgewood Academy (Young 5's -2nd Grade)

Martin Luther King Jr. Academy (3rd-5th Grade)

Muskegon Heights Academy (6th-12th Grade)

Home Address - Street *

Home Address - City *

Home Address - State *

Other:

Home Address - Zip Code *

Primary Telephone Number *

(Please Use Format: ###-###-####) This can be a number to receive text alerts.

Student Cell Phone Number

(Please Use Format: ###-###-####)

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