Application Template

Enrollment Application 2017-2018

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

First NameMiddle NameLast Name
Student's Date of Birth*

MonthDayYear
Student's Current School*
Student's Grade for 2017-2018 School year*

K*123456
Student's Primary Address*

Street Address

Street Address Line 2

CityState / Province

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

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone*

Area CodePhone Number
Work Phone

Area CodePhone Number
Email Address
Parent/Guardian 2
Full Name

First NameMiddle NameLast Name
Relationship to student
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone

Area CodePhone Number
Work Phone

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

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

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

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

First NameLast 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
Should be Empty:

Enrollment Application 2017-2018

Parent/Guardian 1

Parent/Guardian 2