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Elementary Enrollment Form
11.22.09
Please complete and send the form below and we will be glad to contact you to answer any questions you may have regarding Grand Traverse Academy.
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Items denoted with a red asterisk
*
are required.
*
Enrollment Preference
Fall Enrollment
Mid-Year Enrollment (based on availability)
*
Student Name
*
Parent(s) Name
*
Address
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City
*
State
*
ZIP Code
*
Phone Number
*
E-mail Address
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Gender
Male
Female
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Student's Date of Birth
*
Grade in Fall of 2009
Select an option
Kindergarten
1
2
3
4
5
6
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Special Services Received
None
Gifted & Talented
Resource Room
Speech Therapy
Physical Therapy
Occupational Therapy
*
Kindergarten Options (indicate preference)
No Preference
M/W (8:30 am-3:50 pm), every F (8:30 am-11:50 am)
T/Th (8:30 am-3:50 pm), every F (8:30 am-11:50 am)
*
How did you hear about Grand Traverse Academy?