Creekside Charter School 2017/2018 Request for Admission
THIS FORM IS FOR THE COMING 17/18 School Year Only.
Student Legal Name (First, middle, last)
Parents'/ Guardian Names
Student's Date of Birth
Students who do not meet the minimum age requirement established by the California Department of Education are not eligible for enrollment or participation in the TK/ Kindergarten enrollment lottery for the 17/18 school year
Student's Grade in 2017/2018
County of Residence
El Dorado County
Parent's Telephone Number
Parents' Email Address
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