Application for Enrollment 2019-2020
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This application is for students NEW to FernLeaf only. Currently enrolled families should NOT complete this application.

Please complete a separate application for each child you wish to enroll.

Student Information
Student's Last Name *
Your answer
Student's First Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade Level in August 2019 *
PLEASE SELECT THE GRADE LEVEL YOUR STUDENT WILL BE IN FOR THE 2019-2020 SCHOOL YEAR. DO NOT ENTER THEIR CURRENT GRADE LEVEL.
Sibling Information
Please list the names and grades of any siblings that will also be applying to FernLeaf for the 2019-2020 school year. THIS IS FOR INFORMATIONAL PURPOSES ONLY. PLEASE COMPLETE A SEPARATE APPLICATION FOR EACH STUDENT APPLYING.
List the names and grades of any siblings that will also be applying to FernLeaf for the 2019-2020 school year. PLEASE COMPLETE A SEPARATE APPLICATION FOR EACH SIBLING LISTED BELOW.
Your answer
If any of the siblings listed above are multiple-birth siblings (twins, triplets, etc) of the applicant, please enter each of their names here.
Your answer
Address
Please note that applicants must be domiciled in NC at the time of application. Proof of residency is required.
Street Address *
Your answer
City/Town *
Your answer
State *
Zip Code *
Your answer
County *
Mailing Address (if different than above)
Your answer
Parent/Guardian Information
Parent/Guardian Name *
Last, First
Your answer
Email Address *
PLEASE ENTER THIS CAREFULLY AS IT WILL BE USED FOR IMPORTANT NOTIFICATIONS.
Your answer
Confirm Email Address *
PLEASE CONFIRM THAT THE ADDRESS MATCHES THE ADDRESS ENTERED ABOVE.
Your answer
Phone Number(s) *
Your answer
Please answer the following optional question:
How did you hear about FernLeaf?
Check all that apply
Electronic Signature
By checking the box below, I certify that the above information is true and accurate. I verify that this child is domiciled with me in North Carolina. I understand that until proof of residency has been received my application will not be considered complete and cannot be processed (examples of Proof of Residency include copy of utility bill with name of parent/guardian listed, copy of driver’s license, etc.). Student must be domiciled in North Carolina at the time of application. I understand that if I have provided inaccurate or false information, it may result in this application being denied. *
Required
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