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Elementary/Middle School - Admission Application
*There is a Non-refundable Application Fee of $55 (Due upon completion of application)
Class applying for:
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For School Year:
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STUDENT INFORMATION:
First Name
Last Name
Address
City/Zip
Current Age
Gender
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Birthday
Birth Place
Ethnicity
Language spoken at home
MEDICAL INFORMATION:
Physician's Name
Phone
Ongoing/recurrent Medical Conditions
Allergies
Medications (list names)
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