2017-2018 Intent to Enroll at Amandla Charter School
Please complete this form to enroll at Amandla Charter School for the 2017-2018 School Year. We can't wait to meet you!

In order to confirm your seat, please submit the following documents: birth certificate, proof of residency, immunization records, grades from previous school, and IEP (if applicable).

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 grade is the student applying for?
What is the student's gender?
What is the student's home address?
Your answer
What is the student's zipcode?
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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