Merit College Preparatory Academy, a Chartered Public High School Serving Grades 9-12

Contact Information
Parent/Guardian Name:
Releation to Student:
Parent/Guardian Name:
Releation to Student:
Home Address:
City:
Zipcode:
Home Phone:
Cell Phone:
E-mail Address:

Student I wish to Enroll
Student
Name:
Date of Birth:	Month Year
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Grade in Fall 08:
Grade in Fall 09:

Please click Submit after filling in all the above fields to sumbit your registration information.

If you have additional students you want to enroll, please do so on a separate entry.

*Note, this is a preliminary enrollment only. You will be notified once the student is accepted to Merit Academy.