I.C.S. 2023-2024 Enrollment Application -2022/2023

Date of Application *

What grade level is your child? *

Date of birth *

Place of Birth: *

Student Name *

Last Name *

Gender *

Student ID *

Social Security #:

Did student previously attend an ORANGE COUNTY SCHOOL? *

Yes

Residential Address *

Apt

City *

State *

Zip / Post Code *

Email Address *

Home Phone *

Cell Phone

Residence Status *

US Citizen

Not US Citizen

Native Language

If “no”, date of entry into the USA

City

State

Primary Guardian Student lives with *

Parent/Guardian Name *

Work Phone: *

Cell/Other : *

Occupation/Title:

Email Address *

How will your child get to school? *

Upload Photo ID:

Parent/Guardian Signature *

clear

EMERGENCY CONTACT INFORMATION:

First Name: *

Last Name: *

Relationship to Parent: *

Address: *

Apt: *

City *

State *

Phone *

Email Address *

Upload Photo ID: