Enrollment Application

Fields marked * are required

STUDENT INFORMATION
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(K students need to be 5 by Sept. 1st)



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FAMILY INFORMATION
Mother / Legal Guardian Father / Legal Guardian










SIBLING INFORMATION You must also complete an application for each sibling to be eligible for sibling preference (if space is available).
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PREVIOUS SCHOOL/PROGRAM INFORMATION (Include preschool, childcare, and early intervention if applicable).
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SPECIAL SERVICES
A Did student ever have an Individualized Education Program (IEP) at his/her previous school?*   
B Did student have a Section 504 Plan at his/her previous school?*   
C Does student have difficulties that interfere with his/her ability to go to school or to learn?*   
D Has this student been identified for gifted and talented educational services (GATE)?*   
E Has anyone ever suggested that your child be assessed or tested?*   

FORM SUBMISSION RECEIPT
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By submitting this form I verify that the above information is true and correct.