Milestone Democratic School Interest Form
First Step to Enroll for the School Year 2022-23

Complete this form and a member of our Educators' Cooperative will contact you with more information about our enrollment process.

We do not discriminate on the basis of age, color, disability, national origin, race, religion, sex, gender identity or sexual orientation. If you have any questions, or prefer to fill out a paper application, please contact or call/text (608) 305-4332‬.

No discriminamos en base de edad, color, discapacidad, origen nacional, raza, religión, sexo, identidad de género u orientación sexual. Si tiene alguna pregunta, o prefiere completar esta solicitud en papel, comuníquese con o llame/text al (608) 205-8110 (habla español)‬.
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Student name / nombre del alumno *
Student date of birth / fecha de nacimiento del alumno *
Legal Guardian name / nombre de padre o tutor *
Guardian phone number or email / telefono o email de padre o tutor *
What language does Guardian prefer? Qué idioma prefiere el tutor? *
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