Reviewed: 1-8-03
Student name _________________________ Birthdate ______________
Grade in School _______ School Desiring to Attend ___________ _______
Parent's Name ____________________________________ ___________
Address _______________ ______________________________________
Telephone ___________________________________________________
Legal Guardian's Name ______________ ___________________________
Address ______________ _______________________________________
Telephone ____________________________________________________
Attach:
1. Previous school records
2. Transcript of grades and credits
3. Statement why student desires to attend
Tuition fee $___________ Paid _____________ to _________________
Date
The student and legal guardian understand that this application and subsequent enrollment is in no way binding upon the Board of Education. The student and guardian agree to abide by the provisions of this contract, the rules of the school, the policies of the Board of Education, and the laws of the Land. The student and guardian further understand that enrollment is a privilege and not a right and as a non-resident enrollee status is one of permanent probation, violation of any of the above can cause the termination of enrollment.
Student's Signature ____________________
Guardian's Signature ____________________