ENROLLMENT

Welcome to Annie T. Doe Academy

Please complete the following form so we can begin the enrollment process for your student(s). A representative from our Academy will contact you to further discuss the next steps for enrollment.

Name of Person Completing Form

Parent/ Guardian

First Name

Last Name

Cell Phone/ Whatsapp

(###)

###

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Does the student live with you?

Student Information

Student Name

First Name

Last Name

Date of Birth

YYYY

Current Age

Current Grade Level

Academic areas where the student excels

Academic areas where the student needs to improve in

How did you hear about us?

ENROLLMENT

Welcome to Annie T. Doe Academy

(704) 274-9346

ATDOEMF.org