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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