Gilbert L. Sena Charter High School

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**NOW ACCEPTING APPLICATIONS FOR NEW AND RETURNING STUDENTS TO THE 2024-2025 School Year! BE SEEN AND GET BACK ON TRACK - OR AHEAD - EARNING 8 CREDITS PER YEAR!

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Student Re-Registration for 2023-24 School Year

Student Information

Legal First Name*

Answer Required

Legal Middle Name

Answer Required

Legal Last Name*

Answer Required

Preferred Name

Answer Required

Grade Entering*

Answer Required

Date of Birth*

Answer Required

First language spoken by student*

Answer Required

Languages spoken at home*

Answer Required

Address

Street Address*

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City*

Answer Required

Zip/Postal*

Answer Required

Home Phone*

Number Required

Parent 1 Information

First Name*

Answer Required

Middle Name

Answer Required

Last Name*

Answer Required

Email*

Answer Required

Mobile Phone*

Number Required

Work Phone

Number Required

Parent 2 Information

First Name*

Answer Required

Middle Name

Answer Required

Last Name*

Answer Required

Email*

Answer Required

Mobile Phone*

Number Required

Work Phone

Number Required

Emergency Contact Information

First Name*

Answer Required

Middle Name

Answer Required

Last Name*

Answer Required

Relationship to Student*

Answer Required

Email*

Answer Required

Phone*

Number Required

Family Doctor Information

Name

Answer Required

Phone

Number Required

Confirmation Email

Confirmation Email *

Email Required