Hope Academy Charter School Application for Admission (English)
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Check the grade you are applying for ( school year 2018-2019 not the current grade) *
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Child's Full Name: *
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Date of Birth: *
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Sex (Choose one) *
Current School Attending: *
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Name of Parent/Legal Guardian and Relationship *
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Address: *
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City: *
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Zip Code: *
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Primary Phone Number: *
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Secondary Phone Number:
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Email: *
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Emergency Contact Information 1 (Please Enter a First and Last name and a phone number) *
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Emergency Contact Information 2 (Please Enter a First and Last name and a phone number)
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Emergency Contact Information 3 (Please Enter a First and Last name and a phone number)
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Please list the names of any siblings presently enrolled in graduates of HACS. (siblings living in the sames household or children you are legally responsible for as parent/guardian living in the same household)
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Date Submitted *
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