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Enrollment / Registration

PLEASE REVIEW INFORMATION HERE BEFORE COMPLETING THE APPLICATION

Sex:
Male
Female
Date of Birth
May we contact the school for transcripts?
Yes
No

Parent / Legal Guardian / Student Contact Information

ACNOWLEDGEMENT OF AGREEMENT

As Parent/Guardian, I agree to pay the tuition and other school fees as required.

Emergency Contact

Are we authorized to contact them directly?
Yes
No

Statement of Cooperation and Medical Treatment Form

Please Indicate Your Child's Health Status Below

health status
My child has no known health conditions.
My child has a known condition(s). Check all that apply.
Select One
Type 1
Type 2
Other

My Child Has a Primary Healthcare Provider

Has health provider
Yes
No
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