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Registration Form

Please complete all fields in the form below and click Submit.

Please complete all fields in the form below. Students enrolled at Alamo or Apache Elementary in grades Kindergarten through 3rd Grade may attend.

 

I'm enrolling my child in:  

Child's First Name:       Child's Last Name:
Age:       Date of Birth (yyyy-mm-dd):       Gender:  
Street Address:  
City:       State:           ZIP Code:  
Home Telephone:     Parent/Caregiver's Cell Phone:  
Home E-mail Address:  
Grade Just Completed (Please type 0 for pre-school students):  Campus:  
Emergency Contact:       Emergency Phone Number:  
Mother's First Name:       Mother's Last Name:  
Father's First Name:       Father's Last Name:  
People allowed to pick up your child:  
Allergies or other medical conditions:  
Home Church:  
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202 North Oklahoma Street ~ Fort Stockton, Texas 79735 ~ Phone: (432) 336-3346 ~ Fax: (432) 336-6717
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