Hiawatha Academies

Hiawatha Academies

Hiawatha Academies

Hiawatha Academies

Student Enrollment

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Please fill out the form below to apply for student enrollment. All fields are required under Student Information and 1st Guardian Information. 2nd Guardian Information is optional. It is assumed that the 1st Guardian for the child is submitting this form.

Student Information

First Name *

Middle Name *

Last Name *

Entering Grade in Fall 2011: *

Sex:

Student lives with:

1st Guardian Information

First Name: *

Middle Name: *

Last Name: *

E-Mail Address: *

Address: *

City: *

Zip: *

Home Phone: *

Work Phone: *

Cell Phone: *

2nd Guardian Information

First Name: *

Middle Name: *

Last Name: *

E-Mail Address: *

Address: *

City: *

Zip: *

Home Phone: *

Work Phone: *

Cell Phone: *

How did you learn about Hiawatha Academies?

Other family members attending Hiawatha Academies?

Any other information that you feel is important for us to know about your child?

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© 2012 Hiawatha Academies
3810 E. 56th Street Minneapolis, MN 55417 • Phone: (612) 987-5688 • Fax: (612) 825-4777