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Online School Enrollment Form
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The enrollment period is not open.
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Enrollment Status
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Enrollment Request Date
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 The email(s) will receive a confirmation of the enrollment and a link that will allow you to return to this page to review your enrollment or check its status.
Email 1
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Retype Email 1
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Email 2
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Retype Email 2
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First Name
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 Please provide identification information for the student.
You must give us the first and last name and the date of birth.
But if you have the additional information please provide it. It makes for easier identification if there are 2 students with the same first and last names.
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Middle Name
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Last Name
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Date Of Birth
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Country of Birth
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State of Birth
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City of Birth
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Gender
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Race/Ethnicity
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American Indian or Alaska Native (A person having origins in any of the original peoples of North and South America (Including Central America) and who maintains tribal affiliation or community attachment)
Asian - (A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam)
Black or African American (A person having origins in any of the black racial groups of Africa)
Native Hawaiian or Other Pacific Islander (A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands)
White (A person having origins in any of the original peoples of Europe, the Middles East or North Africa)
Hispanic
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
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Member of Military Family
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Your child as a Military Family member is eligible for assistance if either parent meets any of the following conditions: Active duty members of the uniformed services, National Guard and Reserve on duty orders and /or Members or veterans who are medically discharged or retired or die on active duty for one (1) year.
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Home Phone
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Please provide the phone numbers of the student.
You will be asked for parent/guardian information further down, at that time you can provide specific phone numbers for parents/guardians.
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Cell Phone
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Other Phone
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Other Phone Description
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Home or Residence
Address
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Address
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Provide
your Home or Residence Address. This is required information.
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Appt/Blg
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City
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State
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Postal Code
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Address
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Provide
a Mailing Address only if it is different than your Home Address.
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Appt/Blg
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City
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State
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Postal Code
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School And Grade of Enrollment
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Provide
the school and grade you are enrolling into.
Additionally provide us with the school and grade the student is currently attending.
Use the Comment box to provide additionnal information you deem relevant.
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Current School District
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Current School
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Current School - Address
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Current School - City
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Current School - State
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Current School - Postal Code
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Current School - Phone
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Current School - Fax
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Current Grade
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Comment
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Receiving Special Education
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Is the student receiving Special Education services. Please describe services.
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Please Describe
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Student Is on a 504
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Is the applicant currently on a 504. Please describe accomodations.
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Please Describe
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English Language Learners
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Receiving ELL Services
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Is the student receiving English Language Learners services. Please describe services.
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Please Describe
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Is a Language other than English spoken at home?
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Please specify other language
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Relation to Student
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We require that you provide the first and last names for a Parent/Guardian of the student.
We also require that you specify the relation of this person with the student.
Please provide additional phone numbers if need be (for instance the Cell phone of the Parent/Guardian.
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First Name
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Middle Name
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Last Name
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Home Phone
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Cell Phone
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Work Phone
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Other Phone
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Other Phone Description
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Alert Phone
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Enter the phone number that we will use to alert this parent/guardian of snow days, early release, etc.
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Email
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Other Email
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Occupation
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Current Place Of Employment
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Relation to Student
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You may provide us with a second Parent/Guardian if you so choose.
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First Name
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Middle Name
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Last Name
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Home Phone
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Cell Phone
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Work Phone
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Other Phone
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Other Phone Description
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Alert Phone
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Enter the phone number that we will use to alert this parent/guardian of snow days, early release, etc.
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Email
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Other Email
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Occupation
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Current Place Of Employment
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Relation to Student
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You may provide us with an emergency contact that will assume temporary care of your child if you cannot be reached.
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First Name
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Last Name
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Address
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City
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State
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Postal Code
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Home Phone
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Cell Phone
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Relation to Student
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You may provide us with a second emergency contact.
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First Name
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Last Name
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Address
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City
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State
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Postal Code
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Home Phone
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Cell Phone
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Relation to Student
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You may provide us with a third emergency contact.
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First Name
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Last Name
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Address
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City
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State
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Postal Code
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Home Phone
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Cell Phone
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