Enrollment Application

Prospective Student Application

To begin the enrollment process, you will need to complete this pre-enrollment application. After we receive your this application, we will notify you with in 5 business days to confirm that we have received this information.

Thank you for your interest in our campus.

Step 1 of 4

25%

Parent/Guardians Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Daytime Phone Number
Cell Phone
Cell Phone Number
Email*

Personal Email Address
How did you hear about us?

Prospective Student Information, please complete a fully as possible.
Prospective Students Name*
First Last
Students Gender*
Birthdate*
Grade Interest In*
School Year of interest*
Name of Current School, if applicable.
Is a sibling of the applicant currently attending this school?*
- No
- Yes
Currently Enrolled Siblings Name*
First Last

Will another sibling be pre-enrolling as well?*
- No
- Yes
Prospective siblings information, please complete the following fields below.
Prospective Siblings Name*
First Last
Prospective Siblings Gender*
Prospective Siblings Birthdate*
Prospective Siblings Grade of Interest*
Prospective Siblings School Year of interest*
Name Prospective Siblings Current School, if applicable.

Additional Information
Any additional information you would like to share with us or questions you may have about Imagine Schools.

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