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) *
Your answer
Parents'/ Guardian Names
Your answer
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
Your answer
Student's Grade in 2017/2018 *
Physical Address *
Your answer
County of Residence *
Mailing Address *
Your answer
Parent's Telephone Number *
Your answer
Parents' Email Address *
Your answer
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