Enroll | rscseagles

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Enroll Today!

Please fill out this form to begin the enrollment process!

Student Details:

First Name

Middle Name

Birthdate

Last Name

Current Age

Parent/Guardian Contact

Parent/Guardian 1:

First Name

Last Name

Relationship to Student

Primary Phone

Secondary Phone

Email

Street Address

Street Address Line 2

City

State

Postal / Zip code

Parent/Guardian 2:

First Name

Last Name

Relationship to Student

Primary Phone

Secondary Phone

Email

Address Same As Parent/Guardian 1

Street Address

Street Address Line 2

City

State

Postal / Zip code

Statement of CooperationRead Here

I've ready the HandbookRead Here

*more information will be required and can be picked up at the school

Your Signature

Thanks for enrolling your student!

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