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K-7 Enrollment Form 2019-2020


Emergency Contact

In case of emergency and parents can't be reached, please notify the following person:

First and Last Name







Minimum enrollment required





ADDITIONAL STUDENT INFORMATION

It is extremely important that you provide us with the following information for your child in order that we may best meet his or her individual needs. For any questions that are not appicable for your child, please write in "none".

Yes, I will bring an Epi-Pen for my child to be kept at TBA
No
My child does not have any allergies
Yes
My child does not take any medications on a regular basis






Minimum enrollment required





ADDITIONAL STUDENT INFORMATION

It is extremely important that you provide us with the following information for your child in order that we may best meet his or her individual needs. For any questions that are not appicable for your child, please write in "none".

Yes, I will bring an Epi-Pen for my child to be kept at TBA.
No
My child does not have any allergies
Yes
My child does not take any medications on a regular basis






Minimum enrollment required





ADDITIONAL STUDENT INFORMATION

It is extremely important that you provide us with the following information for your child in order that we may best meet his or her individual needs. For any questions that are not appicable for your child, please write in "none".

Yes, I will bring an Epi-Pen for my child to be kept at TBA
No
My child does not have any allergies
Yes
My child does not take any medications on a regular basis
Yes
No

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.
Total:   

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