Banning Lewis Ranch Academy at Northtree

Enrollment Updates

Apply Online

* = required field

* Student's Last Name

* Student's First Name

* Gender

	male
	female

* Birthdate

* Select School Year applying for
(2010 - 2011 only)

* Select Grade Level for year applying for

Note: Students admitted to Kindergarten must be five years of age by October 1st of the school year applying for. 1st Graders must be 6 years old by October 1st.

* Present School Name & School District

Present School Address

* Parent/Guardian Last Name

* Parent/Guardian First Name

* Current School District of Residence

* Present Address

* City

* State

* Zip

* Home Phone

Example: (555-123-1234)

* Work or Cell Phone

Best Time to Call

Email Address

Does this child have a sibling CURRENTLY attending BLRA?

Yes No

If yes, siblings name(s) and grade

Is your child currently receiving Special Education Services?

Yes No

If YES, does your child currently have an IEP or 504 plan?

Yes No Not Applicable

What is her/her disability?

Enter the text shown in the box.

Security code is not case sensitive