Enrollment

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ALL APPLICATIONS MUST BE COMPLETE TO BE CONSIDERED.

PLEASE FILL OUT ONE APPLICATION PER STUDENT

 

Enrollment Form 2017-2018

STUDENT'S PERSONAL INFORMATION
SIBLINGS

List Brothers and Sisters also applying (Please complete one application for each child applying.)

OTHER
RACE/ETHNICITY REPORTING

Due to mandated data collection and reporting requirement from the United States Department of Education (USDOE), the Ohio Department of Education is changing the reporting of race/ethnicity information.

If yes, please select two or more of the following racial categories that apply:

FAMILY INFORMATION

Mother:

Father:

Guardian:

Emergency Contact Information

(People to contact in case of emergency in which parent/guardian are unavailable)

Health and Emergency Information

All medications must be kept with and administered by the school nurse with a parental note or written doctor’s orders. No child will be allowed to carry or administer his/her own medication. A copy of a physical exam in the past year must be kept on record at the school nurse’s office.

PARENT / GUARDIAN
Please write your full name
 

(*) Required Fields

Mt. Auburn International Academy

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