Pre-Enrollment

Phone: 928-537-1208

982 Full House Lane

Show Low, AZ 85901

Pre-Enrollment

Mother/Legal Guardian

Home Phone

Work Phone

Father/Legal Guardian

Home Phone

Work Phone

Mailing Address *

City *

State

Zip *

Email Address:

Student Last Name *

Student First Name *

Student Middle Name

Grade Level in the 2010-2011 School Year *

Birth Date *

Gender * M
F

Special Ed? * Yes
No

Language Spoken *

Ethnic Origin

Birth State *

Current School District

Has this student been expelled from another school? * Yes
No

If yes, please explain:

Transportation Needed? Yes
No

**APPLICATIONS WILL BE PROCESSED ON A FIRST-COME FIRST-SERVE BASIS**

**ALL NEW PARENTS MUST ATTEND A NEW-PARENT ORIENTATION MEETING**

**This is a Pre-Enrollment Form, by filling this out it holds your place for next year. You will receive a letter telling you when to come in to fill out Enrollment Forms.**

Phone: 928-537-1208

Sequoia Village School

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