Late French Immersion Registration

Questions marked with a * are required.

*1.	Student's First Name

*2.	Student's Last Name

*3.	Current School

*4.	Birthday
	(e.g. 4/21/2002)

*5.	Parent/Guardian

*6.	Street Address

7.	Home Phone Number

8.	Work Phone Number

9.	Preferred Location for French Immersion