Editing previous response:

Please fix the highlighted areas below before submitting.

Student Enrollment Form

Please complete the form below. Required fields marked with an asterisk *

Student's First Name*

Answer required for "Student's First Name"

Student's Last Name*

Answer required for "Student's Last Name"

Student's Date of Birth*

Answer required for "Student's Date of Birth"

Grade of Student for 2024 - 2025 School Year*

Answer required for "Grade of Student for 2024 - 2025 School Year"

Parent/Guardian First Name*

Answer required for "Parent/Guardian First Name"

Parent/Guardian Last Name*

Answer required for "Parent/Guardian Last Name"

Email 1*

Answer required for "Email 1"

Email 2

Answer required for "Email 2"

Mobile Phone*

Number Required

Home Phone

Number Required

Work Phone

Number Required

Address Line 1*

Answer required for "Address Line 1"

Address Line 2

Answer required for "Address Line 2"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Does your student have a sibling that currently attends or has attended HCMSA in the past? *

Answer required for "Does your student have a sibling that currently attends or has attended HCMSA in the past? "

Yes

If you answered 'YES' to the question above, enter the sibling's name here. (If 'NO', type N/A in the blank below). *

Answer required for "If you answered 'YES' to the question above, enter the sibling's name here. (If 'NO', type N/A in the blank below). "

I confirm that I am the parent or legal guardian of the student listed above. *

Answer required for "I confirm that I am the parent or legal guardian of the student listed above. "

Yes

Confirmation Email

Answer required for "Confirmation Email"