LdVCS Intent to Enroll/Intención de matricúla
Filling out this form means that you intend to enroll for Leonardo da Vinci Health Sciences Charter School for the upcoming school year.  We will use this information to reach out to you about enrollment and registration information.  
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Email *
Academic Year/Año académico *
Student Information
Please let us know about your student.
Student First Name/Primer nombre *
Student Middle Name/Segundo nombre
Student Last Name/Apellido del estudiante *
Grade Level Enrolling For/Grado al que ingresará *
Birthdate/Fecha de nacimiento *
MM
/
DD
/
YYYY
Residence Address/Dirección *
City/Ciudad *
ZIP code/Código postal *
Home District/Distrito Escolar *
School district your child would attend based on address/Distrito escolar que atendera su hijo(a) basado en su domicilio
Home School/Escuela Local *
School your child would attend based on address./Escuela que su hijo(a) atendera basado en su domicilio
Parent/Guardian Contact Information/Información de contacto de padres o tutor(a)
Please let us know about yourself.
Parent First Name/Primer nombre *
Parent Last Name/Apellido *
Phone/Teléfono *
Cell Phone/Teléfono celular *
Email Address/Correo eléctronico *
A confirmation will be sent to this email address/Una confirmacion sera enviada a esta direccion de correo electronico
Sibling Information/Otros Hijos
Do siblings already attend LdVCS?/Niños (a) que asisten a LdVCS? *
A copy of your responses will be emailed to the address you provided.
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