2017-2018 Student Enrollment Application ******************************************** Namaste’s application process for the 2017-18 school year lottery is now closed. If you are still interested in applying, you can submit an application and your student will be added to our wait list.
Namaste Charter School
Accepting Applications for Kindergarten to Eighth Grade Students
** Complete one application for each student applying **


Information with an *(asterisk) is required

Application deadline:
- Submitted online by March 3, 2017 by midnight Central time
- or mailed and postmarked by March 3, 2017
- or received in person by March 3, 201 at 4pm


Note: There are 3 pages to the enrollment application. Your application is not submitted until you complete all 3 pages and hit the Submit button on page 3. You will receive an email confirming your submission has been received.


If you have any question or problems using this form, please call us at 773-715-9558

Student Information
Last Name
Your answer
First Name
Your answer
Gender
Current School
Your answer
Current Grade
Student Birth Date
MM
/
DD
/
YYYY
Grade Entering in August 2017
Parent/Guardian Contact Information
You may enter two parent(s)/guardian(s) information
Parent/Guardian #1
Parent/Guardian #1 name
Your answer
Relationship to child
Your answer
Home Phone #
Please enter phone number in this format: 773-715-9558
Your answer
Cell Phone #
Please enter phone number in this format: 773-715-9558
Your answer
Home Address
Your answer
City
Your answer
State
Zip code
Your answer
Work Phone #
Please enter phone number in this format: 773-715-9558
Your answer
E-mail address
(This will be the email address we will confirm your submission with)
Your answer
Parent/Guardian #2
Parent/Guardian #2 name
Your answer
Relationship to child
Your answer
Home Phone #
Please enter phone number in this format: 773-715-9558
Your answer
Cell Phone #
Please enter phone number in this format: 773-715-9558
Your answer
Home Address
Your answer
City
Your answer
State
Zipcode
Your answer
Work Phone #
Please enter phone number in this format: 773-715-9558
Your answer
E-mail address 2
Your answer
How many elementary school age siblings does the applicant have? Please remember that one application is required per student.
Number of Siblings
Next
Never submit passwords through Google Forms.
This form was created inside of Namaste Charter School. Report Abuse - Terms of Service - Additional Terms