Church School Enrollment Form

Part 1- To be completed by Parent
Student's Name
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First Middle Last
Student's Birthday
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dd-MMM-yyyy

ADD THE STUDENTS YEAR OF BIRTH TOO! THANKS ~ ADMIN
Student's Grade Level
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Parent's Name
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First Last
Parent's Phone
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Address
N/A

Required Street Address Required City Required State/Region/Province Required Postal / Zip Code
County *
N/A
Parent Email
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Parent/Guardian Signature
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E-Signature Field
Clear
Date
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dd-MMM-yyyy
Part 3 • Consent for Notification of Student Withdrawal
I hereby give prior consent to the Administrator of Alabama Church School to notify the Public School Superintendent should the above named Student cease attendance at said School.
Parent/Guardian Signature *
N/A

E-Signature Field
Clear
Date of Signature *
N/A

dd-MMM-yyyy
I agree that I understand this is my digital Signature *
N/A

Checking this box confirms that you understand the signatures on this form are done digitally until forms are completed and sent out.

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