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Student Enrollment Application

Please complete the form below to enroll each student individually.

Student Information
First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Parent Information
Mother/guardian:
Father/guardian:
Contact Information
Daytime Phone:
Evening Phone:
Email:
Enrollment Fee $100 Please mail payment to: SGLA - Iniabi Free School PO Box 121511, Arlington, TX 76012
Program of Interest
Program of interest	Enter comments here!