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NEW HORIZON

STUDENT ENROLLMENT FORM



  • Student Enrollment Form

  • A. Student Information

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  • B. Parent/Legal Guardian/Caregiver Information

    Parent/Legal Guardian/Caregiver:

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  • C. Additional Household Information

    List brothers and sisters living in household with same parent(s)/legal guardian(s):

  • D. Student Educational Information

  • If yes, answer the following questions:

  • List most recent school/center attended.

  • E. Home Language Information

  • F. Emergency Contact Information

    Provide emergency contact (other than parent(s)/legal guardian(s) listed above.

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  • G. Signature

  • I verify that the information contained in this document is true and correct to the best of my knowledge.

  • / / Pick a Date

  • Should be Empty:


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