EMAIL REQUEST

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2013-2014 Application for Waitlist

Grizzlies Prep is an all-male, public charter school in downtown Memphis. Please submit the following information to add a rising 6th or 7th grade student to the waitlist for the 2013-2014 school year.

Waitlist applicants are accepted on a first come, first serve basis as enrollment slots open. We will have openings over the summer and during the first few weeks of the school year, so please submit you application as soon as possible!

Student's Full Name*

Student's Date of Birth*:

Format: YYYY-MM-DD (Ex: 2012-03-26)

Student's Sex* Male Female

Does this student receive Special Education services?* Yes No

School Currently Attending*

Grade Entering in 2013-2014 *

Grizzlies Prep Sibling Name (only if sibling currently attends Grizzlies Prep)

Parent/Legal Guardian's Full Name*

Parent's Email*

Home Phone*

Cell Phone

Work Phone*

Appropriate legal residency of the Parent/Legal Guardian *

Street Address*

City*

State*

Zip*

How did you hear about Grizzlies Prep?

*Indicates Mandatory Field

Admissions

Board Meeting

Board Meeting

EMAIL REQUEST

2013-2014 Application for Waitlist