Pre-Enrollment Form

"*" indicates required fields

Parent Name*

First Last

Parent's Email Address*

Parent's Phone #*

Parent's Mailing Address*

Street Address City State ZIP Code

Student's Name*

First Last

Student's Age*

Please enter a number from 1 to 99.

Student's Grade*

going into the new school year

Is the student currently enrolled in NICE Community Schools?*

Yes

What was the last school district the student was enrolled in?*

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.