Reveille Weekday School Application
Reveille Weekday School Application for Enrollment
Child's Full Name *
Your answer
Preferred Name or Nickname
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Sex *
Parent Name *
Your answer
Parent Occupation *
Your answer
Parent Address: Street,City, State, zip *
Your answer
Parent Email *
Your answer
Parent Mobile Phone *
Your answer
2- Parent Name
Your answer
2-Parent Occupation
Your answer
2-Parent Email
Your answer
2-Parent Mobile Phone
Your answer
Parents at same address?
School Year Requested *
What program are you requesting? *
List similar programs your child has attended:
Your answer
Name of Siblings at Reveille Weekday School
Your answer
How did you hear about us?
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Your church membership:
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Payment Method *
Please note that all children enrolled at Reveille Weekday School must be in compliance and current with the childhood immunization schedule as set forth on the Commonwealth of Virginia School Entrance Health Form.
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