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Student Re-Enrollment Form
Student Re-Enrollment Form
This form requires Javascript to be enabled for submission and authorization.
*
Required
Parent/Guardian Name
*
required
First Name
Last Name
Number of Scholars
*
required
1
2
3
4
5
Scholar Name
*
required
First Name
Last Name
Scholar Current Grade
*
required
Kindergarten
1st
2nd
3rd
4th
5th
6th
Second Scholars Name
*
required
First Name
Last Name
Second Scholars Current Grade
*
required
Kindergarten
1st
2nd
3rd
4th
5th
6th
Third Scholars Name
*
required
First Name
Last Name
Third Scholars Current Grade
*
required
Kindergarten
1st
2nd
3rd
4th
5th
6th
Fourth Scholars Name
*
required
First Name
Last Name
Fourth Scholars Current Grade
*
required
Kindergarten
1st
2nd
3rd
4th
5th
6th
Fifth Scholars Name
*
required
First Name
Last Name
Fifth Scholars Current Grade
*
required
Kindergarten
1st
2nd
3rd
4th
5th
6th
Re-Enroll for Next School Year?
*
required
Yes, my scholar(s) WILL be returning next school year
No, my scholar(s) will NOT be returning next school year
Please Tell Us Why You Will Not Be Returning Next School Year
Moving
Administration/Staff
Academics
School Schedule
Other
To Finalize Your Scholars Re-Enrollment, please update your Phone Number
*
required
Must contain only numbers
To Finalize Your Scholars Re-Enrollment, please update your Email
*
required
To Finalize Your Scholars Re-Enrollment, please update your Zip Code
*
required
To Finalize Your Scholars Re-Enrollment, please update your City
*
required
To Finalize Your Scholars Re-Enrollment, please update your Address
*
required
Do you have another scholar who will be attending EAGLE Mesa for the First Time next school year?
Yes
No
How Many Scholars will be Attending EAGLE Mesa for the First time next year?
*
required
1
2
3
First Time Scholars Name
*
required
First Name
Last Name
First Time Scholars Date of Birth
*
required
Must contain a date in M/D/YYYY format
First Time Scholars Grade for Next School Year (2023-2024)
*
required
Kindergarten
1st
2nd
3rd
4th
5th
6th
First Time Scholars Name (2)
*
required
First Name
Last Name
First Time Scholars Date of Birth
*
required
Must contain a date in M/D/YYYY format
First Time Scholars Grade for Next School Year (2023-2024)
*
required
Kindergarten
1st
2nd
3rd
4th
5th
6th
First Time Scholars Name (3)
*
required
First Name
Last Name
First Time Scholars Date of Birth
*
required
Must contain a date in M/D/YYYY format
First Time Scholars Grade for Next School Year (2023-2024)
*
required
Kindergarten
1st
2nd
3rd
4th
5th
6th
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