Carden Academy

Applying for Grade: *
Choose One: Preschool (age 3) JrK (age 4) Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade

School Year Applying For?


Which Campus? *
Santa Clara Almaden

Student's Full Name: (First, Middle, Last) *


Gender: *
Female
Male

Date of Birth (Month/Day/Year): *


Place of Birth (City/State/Country): *


Primary Residence - Street Address: *


City *


State: *


Zip Code: *


Telephone Number: *


Last School Attended: *


Primary Language Spoken by Student: *


Other Languages Spoken in the Home: *


Has your child had any educational evaluation? *
Yes
No

If yes, what kind? *


If yes, where? *


Student is currently living with: *
Choose One: Parent Father Mother Guardian Other

Parent or Guardian's last name: *


Father's Full Name: *


Father's Email: *


Father's Business Phone: *


Father's Cell Phone: *


Mother's Full Name: *


Mother's Email: *


Mother's Business Phone: *


Mother's Cell Phone: *


Please list any siblings, their names and ages: *


How did you hear about us? *