2017 Summer School Form for Amandla Charter School
Please complete this form to enroll for summer school at Amandla Charter School. We can't wait to meet you!

In order to confirm your seat, please submit the following documents: grades from previous school and IEP (if applicable).

Email address *
What is the student's FIRST name? *
Your answer
What is the student's LAST name? *
Your answer
What is the student's Date of Birth *
MM
/
DD
/
YYYY
What is the student's current school? *
Your answer
What is the current grade of the student? *
What is the student's gender?
What is the student's home address? *
Your answer
What is the student's home/primary phone number? *
Your answer
Does the student have a brother or sister currently attending Amandla? *
If yes, what is the sibling's name?
Your answer
How did you hear about Amandla? *
If you answered other, please explain.
Your answer
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