INQUIRY FORM
Parent/Guardian Information
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Information required.
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Parent/Guardian 1 First Name:
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Mailing Address Line 1:
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Parent/Guardian 1 Last Name:
Address Line 2:
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Parent/Guardian 1 Relation:
Agent
Aunt
Board Member
Brother
Brother-in-Law
Business
Business Partner
Consultant
Contact
Cousin
Father
Father-in-Law
Foster Parent
Friend
Godfather
Godmother
Grandfather
Grandmother
Guardian
Legal Guardian
Mother
Nanny
Neighbor
Other
Pastor
Representative
Sister
Sister-in-Law
Stepfather
Stepmother
Teacher
Trust
Trustee
Tutor
Uncle
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City:
Parent/Guardian 2 First Name:
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State/Province-Postal Code:
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AA
AB
AE
AK
AL
AP
AR
AZ
BC
CA
CE
CO
CT
DC
DE
DF
FL
FM
GA
GL
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NP
NS
NV
NY
OF
OH
OK
ON
OR
PA
PQ
PR
PZ
Q
RI
RJ
SC
SD
SP
TN
TX
UP
UT
VA
VI
VT
WA
WI
WV
WW
WY
ZG
Parent/Guardian 2 Last Name:
Country, if other than USA:
AFGHANISTAN
ALBANIA
ANTIGUA/ BARBUDA
ARGENTINA
ARMENIA
ARUBA
AUSTRALIA
AUSTRIA
AZERBAIJAN
BAHAMAS
BAHRAIN
BANGLADESH
BARBADOS
BELARUS
BELGIUM
BELIZE
BENIN
BERMUDA
BUTAN
BOLIVIA
BOSNIA/HERZ.
BOTSWANA
BRAZIL
BRUNEI
BULGARIA
BURMA
BURUNDI
CAMBODIA
CAMEROON
CANADA
CAPE VERDE
CHAD
CHILE
CHINA
COLOMBIA
COMOROS
CONGO
COSTA RICA
COTE D'VOIRE
CROATIA
CURACAO
CYPRUS
CZECH REPUBLIC
DENMARK
DJIBOUTI
DOMINICA
DOM. REP.
EAST TIMOR
ECUADOR
EGYPT
EL SALVADOR
ESTONIA
ETHIOPIA
FIJI
FINLAND
FRANCE
GAMBIA
GEORGIA
GERMANY
GHANA
GREECE
GRENADA
GUATEMALA
GUINEA
GUYANA
HAITI
HONDURAS
HUNGARY
ICELAND
INDIA
INDONESIA
IRAN
IRAQ
IRELAND
ISRAEL
ITALY
JAMAICA
JAPAN
JORDAN
KAZAKHSTAN
KENYA
KOREA, SOUTH
KUWAIT
LATVIA
LIBERIA
LIBYA
LITHUANIA
LUXENBOURG
MACEDONIA
MADAGASCAR
MALAWI
MALAYSIA
MALDIVES
MALTA
MARSHALL ISL.
MAURTANIA
MEXICO
MICRONESIA
MOLDOVA
MONACO
MONGOLIA
MOROCCO
MOZAMBIQUE
NAMIBIA
NEPA
NETHERLANDS
NEW ZEALAND
NICARAGUA
NIGERIA
NORWAY
OMAN
PAKISTAN
PALAU
PANAMA
PARAGUAY
PERU
PHILIPPINES
POLAND
PORTUGAL
QATAR
ROMANIA
RUSSIA
RWANDA
ST KITTS/NEVIS
SAINT LUCIA
SAMOA
SAN MARINO
SAUDI ARABIA
SENEGAL
SERBIA
SEYCHELLES
SIERRA LEONE
SINGAPORE
SLOVAKIA
SLOVENIA
SOLOMON ISL.
SOMALIA
SOUTH AFRICA
SPAIN
SRI LANKA
SUDAN
SURINAME
SWAZILAND
SWEDEN
SWITZERLAND
SYRIA
TAIWAN
TAJIKISTAN
TANZANIA
THAILAND
TRINIDAD/TOBAGO
TUNISIA
TURKEY
TURKMENISTAN
UGANDA
UKRAINE
UAE
UNITED KINGDOM
USA
URUGUAY
UZBEKISTAN
VENEZUELA
VIETNAM
YEMEN
ZAMBIA
ZIMBABWE
Parent/Guardian 2 Relation:
Agent
Aunt
Board Member
Brother
Brother-in-Law
Business
Business Partner
Consultant
Contact
Cousin
Father
Father-in-Law
Foster Parent
Friend
Godfather
Godmother
Grandfather
Grandmother
Guardian
Legal Guardian
Mother
Nanny
Neighbor
Other
Pastor
Representative
Sister
Sister-in-Law
Stepfather
Stepmother
Teacher
Trust
Trustee
Tutor
Uncle
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Telephone Number:
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E-Mail Address:
Student Information
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Student First (Given) Name:
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Inquiring for Grade:
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Pre-Kindergarten (4)
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student Middle Name:
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Admission Year:
2009-2010
2010-2011
2011-2012
2012-2013
2013-2014
2014-2015
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Student Last (Family) Name:
English Second Language
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Gender:
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Male
Female
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Current Grade:
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Date of Birth (mm/dd/yyyy):
Interest in:
Questions:
Core Academic Program
Private Instruction Division
International Student Program
Fresh Start Program
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2009 The Crenshaw School | 305 Beulah Road | Winter Garden FL 34787 | 407.877.7412