New Student Registration Form Student's Legal Name * First Name Last Name Gender * Female Male Birth Date * MM DD YYYY Grade to be entered * Student resides with * Parent 1 name * Parent 1 phone number * (###) ### #### Parent 1 email * Parent 1 address * Address 1 Address 2 City State/Province Zip/Postal Code Country Parent 2 name Parent 2 phone number (###) ### #### Parent 2 email address Parent 2 address Address 1 Address 2 City State/Province Zip/Postal Code Country Preferred email address Church affiliation * List any health information or medical conditions we need to be aware of Please check which day works best for you for your upcoming interview * Monday Wednesday Thank you!
