Enrollment Application Enrollment FormDateLast NameFirst Name Middle InitialDOBGrade Applying ForCurrent SchoolCurrent GradeParent or Guardian 1 (relationship to student)Parent or Guardian 1 Last NameParent or Guardian 1 First NameParent or Guardian 1 Mailing AddressParent or Guardian 1 Home PhoneParent or Guardian 1 Work PhoneParent or Guardian 1 Cell PhoneParent or Guardian 1 EmailParent or Guardian 2 (relationship to student)Parent or Guardian 2 Last NameParent or Guardian 2 First NameParent or Guardian 2 Mailing AddressParent or Guardian 2 Home PhoneParent or Guardian 2 Work PhoneParent or Guardian 2 Cell PhoneParent or Guardian 2 EmailWith whom does the student reside?If parents/guardians are separated or divorced.Sibling 1Sibling 1 DOBSibling 2Sibling 2 DOBSibling 3Sibling 3 DOBParent or Guardian Signature