Application Form
Please complete the information for one student. Complete a second form for another student.
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Parent(s) Information
Please provide information on the parents or guardian for the student to be admitted.
Parent 1 *
Full Address *
House Number, City, State, Zip Code
Primary Phone Number *
phone number including area code
Primary Email Address *
full email address
Primary Parent- Employment *
Parent 2
parent authorized to pick up student
Parent 2 Phone Number
Parent 2 Email Address
Parent 2 Employment
Emergency Contact- authorized to pick up student *
List one person who is authorized to pick up your student in case of emergency.
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