Student Information
Please fill out this application in entirety. Once you press submit your form will be sent to us. Be sure to submit your payment for the application process. This application will not be processed without the application payment. If you would like a paper copy of this form, you can download it from the following link and mail it to us along with the application fee to 7545 Parkway Drive Leeds, AL 35094. http://www.learningatthegrove.com/admissions
Student Information
Legal First Name *
Your answer
Middle Name *
Your answer
Last Name *
Your answer
Preferred Name *
Your answer
Street Address *
Example: 7545 Parkway Drive
Your answer
City, State *
Example: Leeds, AL
Your answer
Zip Code *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Last Grade Completed *
Age at Start of School (2020-21) *
Your answer
Medical Needs: (Severe allergies, physical needs, or special learning needs, etc.) Mark none if there are none. *
Your answer
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