NASA: 2023-2024 Enrollment Interest Form

2023-2024 Enrollment Interest Form

NEW Academy of Science and Arts is currently accepting applications for Transitional Kindergarten, K, 1st, 2nd, 3rd,4th and 5th.
Admission Policy: N.E.W Academy of Science and Arts is open to any school-aged resident of the state of California. NASA will not
charge students tuition and will not discriminate basis of ethnicity, national origin, gender, or disability.
Family Name
Select No of Students for Enrollment*

1234
Student Information
Student 1 Information
Student 1 Name*

First NameMiddle NameLast Name
Age
Grade-Level for 2022-23 school year*
Student’s Date of Birth*

MonthDayYear
Date
Grade-Level for 2023-24 school year*
Student 2 Information
Student 2 Name*

First NameMiddle NameLast Name
Age
Grade-Level for 2022-23 school year*
Student’s Date of Birth*

MonthDayYear
Date
Grade-Level for 2023-24 school year*
Student 3 Information
Student 3 Name*

First NameMiddle NameLast Name
Age
Grade-Level for 2022-23 school year*
Student’s Date of Birth*

MonthDayYear
Date
Grade-Level for 2023-24 school year*
Student 4 Information
Student 4 Name*

First NameMiddle NameLast Name
Age
Grade-Level for 2022-23 school year*
Student’s Date of Birth*

MonthDayYear
Date
Grade-Level for 2023-24 school year*
Family Contact Information
Parent/Guardian 1 Information
Parent/Guardian 1 Name*

First NameLast Name
E-mail*
example@example.com
Home Phone
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian 2
Parent/Guardian 2 Name

First NameLast Name
E-mail
example@example.com
Home Phone
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you have a child enrolled at NEW Academy of Science and Arts?*

YesNo
Are you interested in our After School Program?*

YesNo
Student Name*

First NameMiddle NameLast Name
Grade*
Submitter's Signature*

Clear
Submitter's E-mail*
example@example.com
Should be Empty:

2023-2024 Enrollment Interest Form

Student Information

Family Contact Information