Apply to Discovery Charter School

Thank you for your interest in Discovery Charter School. The admissions process is open for the school year 2011-2012.

When filling out the form, you MUST enter your child's last name exactly as it appears on his/her birth certificate. If the last name on the birth certificate is a hyphenated last name, then you must include the hyphenated names.

* Parent/Guardian #1 First Name * Parent/Guardian #1 Last Name

Parent/Guardian #2 First Name Parent/Guardian #2 Last Name

Student's First Name Student's Last Name

Address                    Address (part 2)

City             State                 Zip

Parent/Guardian Email * Last four digits of student SS #(numbers only):

Home Phone (digits only! Include area code)

Cell (digits only! Include area code)

Grade child will enter in September 2012

Birthday: Month: Day: Year:

Check here if this child has a sibling currently enrolled at Discovery Charter School:
Sibling Name :