Reveille Weekday School Application
Reveille Weekday School Application for Enrollment
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Child's Full Name *
Preferred Name or Nickname
Date of Birth *
MM
/
DD
/
YYYY
Sex *
School Year Requested *
What program are you requesting? *
Parent Name *
Parent Occupation *
Parent Address: Street,City, State, zip *
Parent Email *
Parent Mobile Phone *
2- Parent Name
2-Parent Occupation
2-Parent Email
2-Parent Mobile Phone
Parents at same address?
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List similar programs your child has attended:
Name of Siblings at Reveille Weekday School
How did you hear about us?
Your church membership:
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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