Online Application for The Cottonwood School of Civics and Sciences
-Applications may be submitted online using the form below.

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

-The 2018/2019 Kindergarten cut-off date is 9/1/2013

-We do not accept new students after Spring Break of any given school year.

-We do not accept 8th grade students after Winter Break of any given school year.

School Year *
For what year you are registering
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Middle Initial
Your answer
Student's Gender *
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Grade Level Entering 2018-2019 *
Student's Address Line 1 *
Street Address, P.O. box, c/o
Your answer
Student's Address Line 2
Apartment, suite, unit, building, floor, etc.
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
County *
Your answer
Parent/ Guardian 1 Last Name, First Name *
Your answer
Parent/ Guardian 2 Last Name, First Name
Your answer
Home Phone *
Example: 555-555-5555
Your answer
Cell Phone
Example: 555-555-5555
Your answer
Work Phone
Example: 555-555-5555
Your answer
Address same as students? *
If "no" , please fill in the address of the parent/ guardian your child currently lives with.
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