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Now Enrolling for Grade 5!

Completion of this form demonstrates your desire to enroll your child at KIPP:TECH VALLEY Charter School. Students will be accepted on a first come, first serve basis or if need be by lottery. We are currently accepting forms for students entering in the fall of 2017. Space is limited, so enroll your child today!

  1. Student Name(*)
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  2. Phone #(*)
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  3. Date of Birth(*)
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  4. Gender(*)
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  5. Address(*)
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  6. City, State, Zip(*)
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  7. Grade student is entering in Fall of 2017(*)
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  8. Current School(*)
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  9. Parent/Guardian Name(*)
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  10. E-Mail Address(*)
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  11. Home Phone(*)
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  12. Alternate Phone
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  13. Address(*)
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  14. City, State, Zip(*)
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  15. (*)
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  16. Security Check(*)
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KIPP: TECH VALLEY shall not discriminate against or limit the admission of any student on any unlawful basis, including on the basis of ethnicity, national origin, gender, disability, intellectual ability, measures of achievement or aptitude, athletic ability, race, creed, gender, national origin, religion or ancestry. A school may not require any action by a student or family (such as an admissions test, interview, essay, attendance at an information session, etc.) in order for an applicant to either receive or submit an application for admission to that school.