Online Pre-Enrollment Form
* Required Fields

Parent/Guardian Contact Information:
Mother First Name:
Mother Last Name:
Father First Name:
Father Last Name:
* Address 1:
* Address 2:
* City:
* State:
* Zip:
* Home Phone:
Work Phone:
Mobile Phone:
* E-mail Address:
Preferred Contact Method:	E-mail Phone Postal Mail
Student Information: Use this page to enroll up to three children in the school. If you would like to enroll more than three children, please visit the page a second time to enroll additional children.
* Student First Name:
* Student Last Name:
Sex:	Male Female
Birthdate: mm/dd/yy
School Year:	2008
Grade Interested In:	K 1 2 3 4
Current School:
Sibling First Name:
Sibling Last Name:
Sex:	Male Female
Birthdate: mm/dd/yy
School Year:	2008
Grade Interested In:	K 1 2 3 4
Current School:
Sibling First Name:
Sibling Last Name:
Sex:	Male Female
Birthdate: mm/dd/yy
School Year:	2008
Grade Interested In:	K 1 2 3 4
Current School:
How did you learn about Imagine Discovery Public Charter School?	Newspaper Web Radio Friend/Parent Signage Advertisement Other
If you would like additional information or have other questions, please enter here:
Enrollment is based upon space-available basis.