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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
Choose a School Year You Are Enrolling For
2016 - 2017
2017 - 2018
*Name: First, Last
*Last Name
*Current Grade
8
9
10
11
12
*Date of Birth:
Month
01
02
03
04
05
06
07
08
09
10
11
12
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
1994
1995
1996
1997
1998
1999
2000
2001
Student Contact Information
*Address Line 1:
Address Line 2:
*City:
*State:
Select
MN
*Zip Code:
*Phone:
Alternate Phone:
Email:
Family Contact Information
Contact Information for Legally Reponsible Adult
Name:
Relationship:
Phone:
Email:
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