Apollo Charter School Statement of Interest

This pre enrollment form will help Apollo plan its staffing and facilities.  Please fill out this form and submit for each child you feel might attend Apollo in September 2001.
While the information below is intended to be used to offer your child a place at the school, it does not constitute a commitment to enroll.

Parent 1 First Name

Parent 1 Last Name

Parent 2 First Name

Parent 2 Last Name

Student's First Name

Student's Last Name

Student's Date of Birth

Phone Number

E Mail Address

Street Address

City

Zip Code

Comments / concerns / issues