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Student Enrollment

LE CONTE MIDDLE SCHOOL

Please complete this form for student enrollment.

One of our staff members will communicate with you and provide any assistance with the process for applying to one of our programs (Magnet, SAS & Dual Language (Spanish)) or Open Enrollment.

Contact Information

Student First Name*

Answer required for "Student First Name"

Student Middle Name

Answer required for "Student Middle Name"

Student Last Name*

Answer required for "Student Last Name"

Student Birthdate*

Answer required for "Student Birthdate"

Current School:*

Answer required for "Current School:"

Current Grade:*

Answer required for "Current Grade:"

Address

Street Address*

Answer required for "Street Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

Parent Name*

Answer required for "Parent Name"

Parent Email

Answer required for "Parent Email"

Parent Mobile Phone*

Number Required

Any other information you want to share:

Answer required for "Any other information you want to share:"

Any Questions:

Answer required for "Any Questions:"

Confirmation Email

Answer required for "Confirmation Email"