Fayette Academy

Pre-Enrollment Application
   
I hereby apply for pre-enrollment of my child at Fayette Academy for the school year (Ex: 2008-2009).  Please be advised that our annual registration period is in March for the upcoming fall.
 
Student's full Name:  First:    Middle   Last
Student's Date of Birth   Age   Male/Female
Student's Social Security Number
Student's Home Address                   (Street) 
                                        (City, State, ZIP)       
Home Phone Number    Student's Cell Number 
Resides with   Relationship
School Last Attended   Grade
City and State
Father's Name    Home Phone 
Father's Address   
Occupation     Employer 
Work Number    Cell Phone 
Mother's Name    Home Phone 
Mother's Address 
Occupation    Employer 
Work Number    Cell Phone 
Other Family Information (local contact)
Name    Relationship 
Phone Numbers (home)    (work) 
*Please inform us of any other family information you wish to share

To send information, click   To reset to initial values and start over, click