Registration form 2021-22 School Year

SECTION A

STUDENT & PARENT INFORMATION
OneApp Identification Number: (Current public school families: Contact your child's current school to obtain your child's OneApp identification number
Student's Name:*
First Last
Date of Birth (MM-DD-YYYY)*
MM slash DD slash YYYY
Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Parent's Name:*
First Last
Relationship to Student:*
Primary Contact Number*
Secondary Contact Number:
Parent/Guardian Email Address:
Student's grade for the 2021-22 school year?*
Is your child a twin or multiple birth siblings? (Yes/No)*
How did you hear about availability/enrollment at Dr. MLK Jr. School?*
Name
Is the parent or legal guardian currently serving in the armed forces?*
- Yes
- No
SECTION B

ADDITIONAL STUDENT INFORMATION
Is your child new to public school?*