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2017-18 Pre-Enrollment Form

1 Student Information

2 Parent/Legal Guardian

3 Terms & Signature

Student Information
Last Name*
First Name*
Middle Name
Nickname
Grade Entering*
Gender*
- Female
- Male
Date of Birth*
Age*
Race*
Other
Address (include Apt. Number)*
Street Address Address Line 2 City State ZIP Code
Is your child currently enrolled in a school or preschool?*
- No
- Yes
Current School or Pre-school*
City*
Zip Code*
Are you submitting an application for more than one student?*
- No
- Yes
Sibling 1 Full Name
Sibling 2 Full Name
How did you hear about us?
- Radio
- Internet
- Referral
- Community Event
- Other
Please Specify*

First Parent/Legal Guardian
First Name*
Last Name*
Middle Name
Relationship to Student*
- Father
- Mother
- Grandparent
- Foster Parent
- Other
Address (include Apt. Number)*
Street Address Address Line 2 City State ZIP Code
Home Phone
Work Phone
Cell Phone
Email*
What is the best way for us to contact you?*
- Home phone
- Work phone
- Cell phone
- Email
- Mail
Second parent/legal guardian*
- No
- Yes
Second Parent/Legal Guardian
First Name*
Last Name*
Middle Name
Relationship to Student*
- Father
- Mother
- Grandparent
- Foster Parent
- Other
Address (include Apt. Number)*
Street Address Address Line 2 City State ZIP Code
Home Phone
Work Phone
Cell Phone
Email*

Terms and Signature
*
- By completing this application I attest that I have submitted true and factual information to the best of my knowledge. I understand that submitting this application is the first step towards enrollment but is not an enrollment form. By completing this application correctly and notifying us of changes, we guarantee that you will be contacted if the student is accepted. If the student is accepted because you submitted false, incorrect or misleading information, we may refuse to enroll the student.
Signature

Education

Approach
STEAM
Curriculum
Enrollment Process
Forms

Current Families

Contact
Forms

About Us

The Biome
YLC
Our Board
FAQs

Connect with The Biome

314-531-0982

info@thebiomeschool.org

The Biome School

4471 Olive Street
Saint Louis, Missouri 63108

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