New Students

COMPLETE ONE FORM PER CHILD

PLEASE FILL IN ALL INFORMATION REQUESTED BELOW

Student's LEGAL Name(Required)

First Middle Last

School Year(Required)

2023/2024 School Year

2024/2025 School Year

Student Address (Street/Apartment number):(Required)

Street Address Address Line 2 City State ZIP Code

Main Phone:(Required)

Current School

Applying for grade

PARENT/LEGAL GUARDIAN #1 INFORMATION

Full Name(Required)

First Last

Alt/Cell Phone

Email Address(Required)

PARENT/LEGAL GUARDIAN #2

Full Name

First Last

Alt/Cell Phone

Email Address

OTHER THAN APPLICANT, PLEASE LIST ALL SCHOOL-AGED CHILDREN LIVING IN THE HOME:

Name:

First Last

Relationship to Head of Household:

School (if attending): Current Grade:

Name:

First Last

Relationship to Head of Household:

School (if attending): Current Grade:

Please check all that apply to this Student Application

This student has at least one sibling or foster sibling who attends Marine Village School.

This student is a child of a current Marine Village School employee.

This information will become part of the student’s permanent cumulative record and will be available to appropriate staff members. Minnesota law also requires that you provide immunization information to your child’s school. A charter school shall give preference for enrollment to a sibling of an enrolled pupil and to a foster child of that pupil’s parents and may give preference for enrolling children of the school’s teachers and staff before accepting other pupils by lottery. For information, please refer to MN Statute 124.D.10 Subdivision 9 regarding enrollment in charter schools.

Comments/Notes

Mandatory - Parent/Guardian Signature(Required)

Date(Required)

NOTE: Applications must be received by March 14 to be included in our Annual Lottery on March 15th

This field is for validation purposes and should be left unchanged.

New Students

COMPLETE ONE FORM PER CHILD

PLEASE FILL IN ALL INFORMATION REQUESTED BELOW

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