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Augsburg Fairview Academy Enrollment Interest Form
If you are interested in enrolling please complete this form, our Recruitment Coordinator will contact you soon.
*School Year You Are Enrolling For
*Name: First, Last
*Last Name
*Current Grade
10 11 12 
*Date of Birth:
Student Contact Information
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip Code:
*Phone:
Alternate Phone:
Email:
Family Contact Information
Contact Information for Legally Reponsible Adult
Name:
Relationship:
Phone:
Email:
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