2020-2021 Student Application
Please answer each question completely.
Email address *
Student's Name: *
Your answer
Student's Date of Birth *
MM
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DD
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YYYY
Application for Grade: *
Required
Home Address: *
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City/State/Zip: *
Your answer
Primary Telephone: *
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Secondary Telephone: *
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Race *
Required
If child has a sibling, please provide siblings name(s), age and current school. *
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