KIPP Endeavor Academ

KIPP Endeavor Academy Enrollment Form

Completion of this form demonstrates your desire to enroll your child at KIPP Endeavor Academy. Students will be accepted on a ‘first come, first served’ basis, or if need be by lottery. We are currently accepting applications for students entering the 5th and 6th grades for the upcoming school year.

1 Student information

Student name Address Address optional City State Zip

Home phone Date of birth Current grade Current school

2 Parent information

Parent name Address Address optional Parent city Parent state Parent zip

Home phone Cell phone optional Work phone optional E-mail address optional