Student Information
Student's First Name *
Student's Last Name *
Street Address (including Apt, City, State, Zip) *
Date of Birth *
MM
/
DD
/
YYYY
Gender *
First Parent or Guardian's Name(s) *
First Parent/Guardian Email *
First Parent/Guardian Cell Phone *
Home Telephone *
Second Parent or Guardian's Name(s)
Second Parent/Guardian Email
Second Parent/Guardian Cell Phone
Student Email *
Grade in 2019-2020 *
Will your child be new to HM in the Fall 2020? *
Current School 2019-2020 *
Please type the name of your current school if not Horace Mann School
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