2021-2022 Mountain Sage Intent to Enroll Form

2021-2022 Mountain Sage Community School Intent to Enroll Form
Currently attending and newly interested families must complete this form to be considered for enrollment in the 2021-2022 school year.
This Intent to Enroll form is for: *
Please note, children must be born prior to August 1st, 2016 to be considered for kindergarten enrollment in the 2021-2022 school year.
Child 1 *

new student returning student
Full Name of Child 1 *

First Name Last Name
Current Teacher for Child 1
Last Name
Date of Birth *

Month Day Year
Gender of Child 1 *
Grade Level 2021-22 School Year *
School Child 1 Currently Attends *
Has child 1 ever received student support services of any kind? *

yes no
If yes, please explain
Add a second child? *

yes no
Child 2 *

new student returning student
Full Name of Child 2 *

First Name Last Name
Current Teacher for Child 2
Last Name
Date of Birth *

Month Day Year
Gender of Child 2 *
Grade Level 2021-22 School Year *
School Child 2 Currently Attends *
Has child 2 ever received student support services of any kind? *

yes no
If yes, please explain
Add a Third Child? *

yes no
Child 3 *

new student returning student
Current Teacher for Child 3
Last Name
Full Name of Child 3 *

First Name Last Name
Date of Birth *

Month Day Year
Gender of Child 3 *
Grade Level 2021-22 School Year *
School Child 3 Currently Attends *
Has child 3 ever received student support services of any kind? *

yes no
If yes, please explain
Add a Fourth Child? *

yes no
Child 4 *

new student returning student
Current Teacher for Child 4
Last Name
Full Name of Child 4 *

First Name Last Name
Date of Birth *

Month Day Year
Gender of Child 4 *
Grade Level 2021-22 School Year *
School Child 4 Currently Attends *
Has child 4 ever received student support services of any kind? *

yes no
If yes, please explain
Parent or Guardian Full Name *

First Name Last Name
Email Address *
Phone *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Comments?
Security Code *
Should be Empty:

2021-2022 Mountain Sage Community School Intent to Enroll Form