EmailMeForm
Enrollment Form 2016-2017
Grace Academy student application for 2016-2017 School Year
Please complete one form per student.
1
Student Information
2
Father/Guardian
3
Mother/Guardian
4
Mother/Guardian (cont)
5
Mother/Guardian (cont)
6
Church
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1
Student Information
2
Father/Guardian
3
Mother/Guardian
4
Mother/Guardian (cont)
5
Mother/Guardian (cont)
6
Church
7
Academic History
8
Additional Information
9
Agreement and Signature
Student Name
First
Middle
Last
Prefers to be called
Birth Date
MM
/
DD
/
YYYY
Gender
Please select
Male
Female
Social Security Number
Currently in grade
*
Please select
Preschool
K
1
2
3
4
5
6
7
8
9
Applying for grade
*
Please select
K
1
2
3
4
5
6
7
8
9
Kindergarten applicants must be 5 years old by August 31 of the enrollment year.
Curriculum Enrollment
*
Full Curriculum
Math/Language Art Block
Math
Grade 7/8/9 Science
Extended Learning
*
None
Tuesday
Thursday
Friday
Choice Lunch
1
/
9
