Admissions Application 2019-2020 School Year
Name of Student *
Your answer
Grade Entering Fall 2019 (Please choose one) *
Required
Home Address *
Your answer
City, State, Zip *
Your answer
Name of Parent/Guardian *
Your answer
Parent/Guardian Phone Number *
Your answer
Email Address *
Your answer
Name of Parent/Guardian
Your answer
Parent/Guardian Phone Number
Your answer
Email Address
Your answer
School District of Residence *
Your answer
Do you have any siblings currently attending Prairie Creek? *
Do you or your spouse currently work at Prairie Creek? *
Name of Parent/Guardian filling out form *
Your answer
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