ACADEMY OF THE CITY CHARTER SCHOOL RE-ENROLLMENT FORM (2019-2020 School Year)
STOP! READ THIS! Only use this form for RETURNING STUDENTS. New students, such as siblings, must be enrolled in person at the school. Please call the main office at 718-487-9857 for more information.
Email address *
Student Last Name *
Your answer
Student First Name *
Your answer
Student Middle Name
Your answer
OSIS Number (not required)
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Gender *
Place of Birth *
Your answer
Has your address changed since January 2019? If yes, please submit proof of new residence to the main office *
Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Home Phone Number *
Your answer
Grade Entering in 2019 *
Ethnicity - Is Your Child Hispanic or Latino *
Racial Background: (Check all that apply) *
Required
Language spoken at home *
Your answer
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