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Enrollment Application

Please complete the form below. Required fields marked with an asterisk *

Applying for Grade: *

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Your Child's Full Name:*

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Child's Gender*

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Male

Female

"X"

Date of Birth: xx/xx/xxxx*

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Current Grade:*

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Current School:*

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Resident School District:*

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Does this child have siblings attending or applying for MLA?*

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Yes

Full Name of Sibling(s) attending or applying to MLA:

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Is English spoken as a second language?*

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Yes

What Language is spoken at home?

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Has your child been identified by a school district as Talented and Gifted (TAG)?*

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Yes

Contact Information

Parent or Guardian Full Name:*

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Home Address:*

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Home City:*

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Home Zip Code:*

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Best Number to Contact You:*

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Home Phone

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Work Phone

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How did you learn about MLA?

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What attracts you to MLA?

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Is there anything else we should know about your child?

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Confirmation Email

Confirmation Email *

Enter your email address here if you'd like to receive a confirmation upon submitting the form.

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