Registration 2020-2021

School Year

Student Information

If your student is selected, do you give permission for Aim High Prep to post your student’s name on the school website?*

Yes
No

How many students are you as a parent or guardian applying for to attend Aim High Prep?

Student 1

Desired Program

Child’s current age

First Name

Middle Name

Last Name

Suffix

Date of Birth

Student 2

Desired Program

Child’s current age

First Name

Middle Name

Last Name

Suffix

Date of Birth

Desired Program

Campus

Child’s current age

First Name

Middle Name

Last Name

Suffix

Date of Birth

Student 4

Desired Program

Child’s current age

First Name

Middle Name

Last Name

Suffix

Date of Birth

Student 5

Desired Program

Child’s current age

First Name

Middle Name

Last Name

Suffix

Date of Birth

Student 6

Desired Program

Child’s current age

First Name

Middle Name

Last Name

Suffix

Date of Birth

Student 7

Desired Program

Child’s current age

First Name

Middle Name

Last Name

Suffix

Date of Birth

Residential Address

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How did you hear about us?

First Parent/Guardian

First Name

Last Name

Relationship

Phone

Email

Second Parent/Guardian

First Name

Last Name

Relationship

Phone

Email

Signature

By signing this Application, I certify that all of the information above is true and accurate. I also acknowledge and agree that if the information provided is untrue or inaccurate, and/or if my student's discipline report shows discipline issues, this Application may become void.

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Registration 2020-2021

Student Information

Student 1

Student 2

Desired Program

Student 4

Student 5

Student 6

Student 7

Residential Address

First Parent/Guardian

Second Parent/Guardian