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About the Student
Name
First
Middle
Last
Jr
Sr
II
III
IV
Suffix
Preferred Name
Gender
Date of Birth
mm/dd/yyyy
Current Grade
Not yet in school
Pre-K
K
1st | S
2nd | S
3rd | U
4th | M1
5th | M2
6th | I
7th | T1
8th | T2
1st
2nd
3rd
4th
5th
6th
7th
8th
Interested in Grade
1st | S
2nd | S
3rd | U
4th | M1
5th | M2
6th | I
7th | T1
For the Term of
2023-2024
2024-2025
Current School
About the Parent/Guardian
Name
Mr.
Mrs.
Ms.
Dr.
Title
First
Middle
Last
Jr
Sr
II
III
IV
Suffix
Preferred Name
Relationship to Student
Mother
Father
Stepmother
Stepfather
Grandmother
Grandfather
Guardian
Primary Phone (xxx-xxx-xxxx)
Cell
Home
Work
Type
Number
SMS Opt In
By selecting yes, you are agreeing to receive SMS text messages from The Summit School. Notification frequency varies. Message & data rates may apply. To opt-out of all SMS notifications from this organization, select no or text STOP to 1-833-952-1270.
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No
Secondary Phone (xxx-xxx-xxxx)
Cell
Home
Work
Type
Number
SMS Opt In
By selecting yes, you are agreeing to receive SMS text messages from The Summit School. Notification frequency varies. Message & data rates may apply. To opt-out of all SMS notifications from this organization, select no or text STOP to 1-833-952-1270.
Yes
No
Email
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