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New Applicant Student Intake Form

If your child is selected for enrollment through our random lottery process, you will be notified. If you are not notified by the end of the 2019/2020 school year, you will need to complete a new Intake form for the following school year.

Please complete the form below. Required fields marked with an asterisk *

Sex*
Answer Required
Grade Level*
Answer Required
Has this student ever been retained?*
Answer Required
Has your student ever had problems with attendance?*
Answer Required
If yes, have you been called to truancy court?
Answer Required
Has the student ever had problems with behavior?
Answer Required
If yes, has expulsion ever occurred?
Answer Required

Enrolling Parent\Legal Gaurdian

Contact Information
Address
State*
Answer Required
Are you willing to enroll more than one student?
Answer Required
If we have an opening for one grade and not the other, are you willing to SEPARATE your students?
Answer Required
Confirmation Email