Application Template

Enrollment Application 2017-2018

Please complete a separate form for each student.
Full Name *

First Name Middle Name Last Name
Student's Date of Birth *

Month Day Year Date Picker Icon
Student's Current School *
Student's Grade for 2017-2018 School year *

K* 1 2 3 4 5 6

Student's Primary Address *

*In order to enroll for Kindergarten, students must turn 5 on or before September 1st of enrollment year.
Parent/Guardian 1
Full Name *

First Name Middle Name Last Name

Address *

Address

Home Phone

Area Code Phone Number
Work Phone

Area Code Phone Number
Email Address
Please list all siblings who have applied for enrollment
Sibling 1

First Name Last Name
Sibling 1 Relationship
Sibling 1 Current School
Sibling 2

First Name Last Name
Sibling 2 Relationship
Sibling 2 Current School
Sibling 3

First Name Last Name
Sibling 3 Relationship
Sibling 3 Current School
Sibling 4

First Name Last Name
Sibling 4 Relationship
Sibling 4 Current School
New Horizon Academy shall give enrollment preference to a sibling of an enrolled pupil and to a foster child of that pupil's parents and may give preference for enrolling children of the school's staff before accepting other pupils by lot.
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By hitting submit I certify that the information on this form is accurate to the best of my knowledge
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Enrollment Application 2017-2018