Providence Heights Alpha School - Inquiry Form
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PARENT/GUARDIAN INFORMATION:
Parent(s)/Guardian(s) First & Last Name:
*
Your answer
Email Address:
*
Your answer
Phone Number
Your answer
Address (Street, City, Zip)
*
Your answer
How did you hear about our school? (Select all that apply)
*
Website
Friend or Family
Social Media
Print Advertisement/Yard Sign
Open House
Other:
Required
Would you like:
Choose
In-person Tour
Virtual Meeting
Phone Call
Other (please explain below)
Preference for Day/Time: (If you indicated "Other" above, please explain how we can best help.)
Your answer
STUDENT INFORMATION:
Student(s) First Name:
*
Your answer
Student(s) Last Name:
Your answer
Applying for Grade(s):
*
Prekindergarten
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Required
Entering Year:
*
Choose
2020-21
2021-22
2022-23
2023-24
Birth Date (Only if you are interested for PreK or K)
MM
/
DD
/
YYYY
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