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Get Confirmation Code Hollywood Academy Of Arts And Science Form

HOLLYWOOD ACADEMY OF ARTS SCIENCE ENROLLMENT APPLICATION To submit an application Confirmation Code 1. Complete all information and sign and date in the space provided at the bottom of application 2. Mail to Hollywood Academy of Arts and Science 1705 Van Buren Street Hollywood FL 33020 3. HOLLYWOOD ACADEMY OF ARTS SCIENCE ENROLLMENT APPLICATION To submit an application Confirmation Code 1. Complete all information and sign and date in the space provided at the bottom of application 2. Mail to Hollywood Academy of Arts and Science 1705 Van Buren Street Hollywood FL 33020 3. Or apply online at www. hollywoodcharter. org 4. Hollywood Academy of Arts and Science is a tuition free public school* PARENT/GUARDIAN CONTACT INFORMATION Contact Name Dr. Ms. Mrs. Mr. Jr/Sr/III FIRST MI Home Phone Email Address LAST Home Address STREET APT. CITY STATE ZIP Please write in the school year you are applying for How did you hear about the school All school correspondence including report cards will be mailed to this address. Please check one. I prefer to be contacted by phone or email* APPLICANT ONE Applicant Name Jr/Sr/III Relationship to this applicant Gender Female Male Date of Birth Previous School Name State County Does this applicant have a sibling currently applying Yes No Applying Sibling Name Attending Sibling Name For which grade level are you applying K 1 2 3 4 5 6 7 8 Is the student a dependant of active-duty military personnel Yes No It is the policy of Charter Schools USA to comply with all applicable state and federal laws regarding non-discrimination in employment and educational programs and services. Charter Schools USA will not discriminate illegally on the basis of sex race religion national origin disability or age as to employment or educational programs and activities. To the best of my knowledge the above information is correct and complete. I understand any false statements may result in forfeiting my child s seat. In the event of a change of address phone name etc* I will contact the school* Parent Signature Date. Complete all information and sign and date in the space provided at the bottom of application 2. Mail to Hollywood Academy of Arts and Science 1705 Van Buren Street Hollywood FL 33020 3. Or apply online at www. hollywoodcharter. org 4. Hollywood Academy of Arts and Science is a tuition free public school* PARENT/GUARDIAN CONTACT INFORMATION Contact Name Dr. Or apply online at www. hollywoodcharter. org 4. Hollywood Academy of Arts and Science is a tuition free public school* PARENT/GUARDIAN CONTACT INFORMATION Contact Name Dr. Ms. Mrs. Mr. Jr/Sr/III FIRST MI Home Phone Email Address LAST Home Address STREET APT. CITY STATE ZIP Please write in the school year you are applying for How did you hear about the school All school correspondence including report cards will be mailed to this address. Ms. Mrs. Mr. Jr/Sr/III FIRST MI Home Phone Email Address LAST Home Address STREET APT. CITY STATE ZIP Please write in the school year you are applying for How did you hear about the school All school correspondence including report cards will be mailed to this address. Please check one. I prefer to be contacted by phone or email* APPLICANT ONE Applicant Name Jr/Sr/III Relationship to this applicant Gender Female Male Date of Birth Previous School Name State County Does this applicant have a sibling currently applying Yes No Applying Sibling Name Attending Sibling Name For which grade level are you applying K 1 2 3 4 5 6 7 8 Is the student a dependant of active-duty military personnel Yes No It is the policy of Charter Schools USA to comply with all applicable state and federal laws regarding non-discrimination in employment and educational programs and services.

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