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Legacy Preparatory Academy
2017-2018 Student Application

Note: This form is for new families only.


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.

First
Name
Last
Name
Birth Date
(mm/dd/yy)
Discipline* Campus Grade
(2017/2018)

*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!