KIPP Miami | Enroll

Student's First Name *

Student's Middle Name

Student's Last Name *

Current Grade *

Grade Applying To *

Student's Date of Birth (Month/Day/Year) *

Student's Gender *

What school is the student currently in?

Parent's/Guardian's First Name *

Parent's/Guardian's Last Name *

Relationship to Student (Example: Mother, Father) *

Cell Phone *

Home Phone

Work/Day Phone

Street Address *

Apt # (if any)

City *

Zip Code *

Email Address *

What is the best way to contact you? *

How did you hear about us? *

Does the student have a brother or sister who is also applying to KIPP Miami? (Note: You must complete a separate application for each student.)

AGREEMENT

Submitting this application does not mean or guarantee that the student will be accepted. By completing this application correctly and notifying us of changes, we guarantee that you will be contacted if the student is accepted through our random lottery process. If the student is accepted because you submitted false, incorrect or misleading information, we may refuse to enroll the student. By signing your name below and submitting this application you are agreeing that the information you provided is true and correct.

By checking this box, I give KIPP permission to submit an application for my child for the 2021-2022 school year, using the information I have provided. *

Yes

SUBMIT

¡Solicite ahora para el año escolar 2021-22!