2018-2019 Admission Application
Please provide a PARENT/GUARDIAN email address below
Email address *
Student's Last Name *
Your answer
Student's First Name *
Your answer
Middle Initial
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Sex *
Current Home Address *
Your answer
Apt/Suite
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Active Home Phone *
Your answer
Active Mobile Phone *
Your answer
Student's Current Grade in 17-18 *
Grade Applying For in 18-19 *
Current School *
Your answer
Parent/Guardian's Name *
Your answer
Relationship to Student *
Your answer
Sibling's Name
Only list if the sibling is currently enrolled, and resides in the same household as the applicant.
Your answer
Sibling's Current Grade (if applicable)
Only list if the sibling is currently enrolled, and resides in the same household as the applicant.
A copy of your responses will be emailed to the address you provided.
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