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Legacy Preparatory Academy
2016-2017 Student Application

Note: This form is for new families only.
If you have already applied for the 2017 school year
or have students already enrolled at Legacy Prep Click Here.

Primary Guardian
First Name:
Last Name:

Secondary Guardian
First Name:
Last Name:

Street Address:
City:     Zip Code:

Main Email Address:
Alternate Email:
You must have an email account so we can contact you. You can get one free from Google: https://accounts.google.com/SignUp

Mobile Phone (xxx xxx-xxxx):
Work Phone (xxx xxx-xxxx):
Home Phone (xxx xxx-xxxx):

How did you hear about us?

Were you referred by a student or parent?
If so, please enter their full name here:

Why did you select Legacy Prep?

Now, enter up to six students:
Please enter names exactly as shown on birth certificates.

Gender Birth Date
Discipline* Campus Grade

*Does the applicant have any documented history of a criminal offense, juvenile court adjudication, or removal to an alternative education program for cause or expulsion? Legacy Prep has the right to exclude students with documented histories of a criminal offense, juvenile court adjudication, or discipline problems under Subchapter A Chapter 37, Texas Education.

By checking this box, I certify to the best of my knowledge and belief that the information in this application is complete and accurate. I understand that any false information, omission, or misrepresentation of facts may result in the rejection of this application or future dismissal of the applicant(s).

Remember, if you do not receive a confirmation email shortly,
your application did not go through!