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 ABOUT US

ADMISSIONS

NEWS & EVENTS

SCHOOL LIFE

CALENDAR

ATHLETICS

STUDENT ENROLLMENT 2007-2008

PERSONAL INFORMATION »


Family Last Name:

Today's Date:

Street Address:

Home Phone:

City, State and Zip:

 

PARENTAL INFORMATION »


Father's Name:

Employer:

Cell Phone:

Work Phone:

SS # :

Mother's Name:

Employer:

Cell Phone:

Work Phone:

SS# :

SIBLING STUDENTS (IF APPLICABLE) »


  Student's Name(s):          

  SS#                 

  Birth Date:

  Grade

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5.           

EMERGENCY CONTACTS »


  Name:            Relation:    Phone:

1.  

    
2.       

AFTER SCHOOL PICK UP CONTACTS »


 1.   2.     3.  

MEDICAL INFORMATION »


Physicians Name:

  Phone:

Insurance Type:

  Insurance # :

Hospital Preference:

  Group # :

CHURCH INFORMATION »


Church Attending:

  Pastor's Name:      

  Are You a Member?

  

LAST SCHOOL ATTENDED »