Returning Student Enrollment | Cabot Christian School

Student First Name*

Student Middle Name

Student Last Name*

Student Preferred Name (if different)

Student's Age*

Student's Date of Birth

Gender*

Race*

Student's SSN (no dashes)*

Grade Applying For*

Year Applying For*

Your child must be grade level age no later than October 1. This means your child must be 4 years old by 10/1 to enroll in Pre-K4, 5 years old by 10/1 to enroll in kindergarten, etc. Children under 3 years old cannot be enrolled in Pre-K3 per DHS regulations.

Parent / Guardian Type*

If legal guardian, relationship to student:

Parent/Guardian First Name

Parent/Guardian Middle Name

Parent/Guardian Last Name*

Street Address*

Apt / Unit

City*

State*

Zip code*

Email*

Phone*

Employer

Occupation

Second Parent / Guardian Type*

If legal guardian, relationship to student:

Second Parent/Guardian First Name

Second Parent/Guardian Middle Name

Second Parent/Guardian Last Name

Street Address (if different than above)