Enrollment Application
Completion of this form demonstrates your desire to enroll your child at Henderson Collegiate. The deadline for student enrollment for the 2017 - 2018 school year is 5 pm on Monday, April 3rd, 2017. If the number of applicants exceeds the number of student spaces available, Henderson Collegiate will perform a lottery to determine student enrollment. Applications received after April 3rd, 2017 will be added to the waitlist in the order in which they are received. Please remember to update your application if there are any phone number or address changes. Applications are discarded at the end of each school year. Please remember to reapply.
Student Information:
Student Name: *
Please enter full first and last name.
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Home Phone Number: *
Your answer
Grade Applying for: *
Parent / Guardian Information:
Parent / Guardian Name: *
Please enter full first and last name.
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Home Phone: *
Your answer
Cell Phone:
Your answer
Work Phone:
Your answer
Email Address: *
Your answer
Finalizing Your Application:
Certification of Form: *
By typing in my initials, I certify that all the answers given in this application are true, accurate, and complete. I understand that if my child is enrolled, my having given false or misleading information in any of my application forms, residency forms, or having omitted significant information there from, may result in the discharge of my child from the school.
Your answer
Do you have any other children enrolled at Henderson Collegiate? *
If yes, please type their name and grade level or Pride. If no, please type NA.
Your answer
By TYPING your FULL FIRST AND LAST NAME here, you are acknowledging that all information provided on this form is accurate and true to the best of your knowledge, and that you understand that if Henderson Collegiate receives more applications than it has slots available, a public lottery will be held with all students whose applications were completed and turned in by the application deadline of Monday, April 3rd, 2017, to randomly select students to fill any available openings. *
Your answer
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