Mona Shores Enrollment Form
NOTE: Your submission requires an overnight to process. Please complete and submit this form one business day before you plan to visit the building office to complete enrollment.
Email address *
School Year *
Please select the school year in which your student will begin attending.
Student Information
Student's legal name is required as listed on the Birth Certificate.
Student Name - First *
Your answer
Student Name - Middle *
Your answer
Student Name - Last *
Your answer
Student Name - Suffix
Jr.
Sr.
II
III
IV
Select one, if applicable
Birthdate *
MM
/
DD
/
YYYY
Gender *
Please select F for Female or M for Male
Is your student Hispanic or Latino? *
Race *
Grade Entering *
For Kindergarten, please select 0.
Mona Shores School Building of Residence *
Select the building where you reside. This is not to be used for internal school of choice.
Home Address - Street *
Your answer
Home Address - City *
Your answer
Home Address - State *
Home Address - Zip Code *
Your answer
Primary Telephone Number *
(Please Use Format: ###-###-####) This can be a number to receive text alerts.
Your answer
Student Cell Phone Number
(Please Use Format: ###-###-####)
Your answer
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