This year, our six week open enrollment period runs from 11:00am on January 29 through 4:00pm on March 9. All forms received during open enrollment will have the same chance to get a spot in the school. Over enrolled classes will be filled by lottery, which will occur at the school office on April 6. Students whose forms are received after March 9 will be placed in classes or on wait lists on a first come, first served basis. Unfortunately, NC charter school law prohibits us from giving priority to students on this year's waiting list. We must receive enrollment forms for all students seeking enrollment for the 2018-19 school year. If you wish to read our entire enrollment policy, click here.


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Denotes a required field. If there is a field that does not apply or you would prefer to leave blank, enter "N/A" or "NA."

**

Denotes a field required by your answer to the previous question.


CAVEATS: We have had mixed results with users who accessed this form via smart phones, tablets, or other mobile devices. iPhones seem to be especially problematic.

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Student Information


*First Name:


Preferred Name (if different from First):

Space



Middle Name:


*Last Name:


Suffix:


*Gender:


*Race:


*Date of Birth (mm/dd/yyyy):


*Child's Age on August 31, 2018:


*Child resides with:


**If other, please specify:


* Grade level for 2018-19:


*Does the child reside on lands reserved for the EBCI?

Space

Yes
No

Student Physical Address

Mailing address information will be gathered later.


*Street Address:


*City:


*County:


*State:


*Zip Code:


*School Child Currently Attends:


*Home Phone(xxx-xxx-xxxx):


Child Cell Phone(xxx-xxx-xxxx):


*Has your child ever been home schooled?

Space

Yes
No

Please enter the required information into the field below.


*Check every home school grade.
K 1 2 3 4 5 6 7 8


*Does the child have a sibling currently enrolled at MDCS?

Space



**If Yes, who?


*What is the primary language spoken in the child's home?

Space



Parent Guardian Information




*Mother/Guardian1 First Name:


Mother/Guardian1 Middle Name:


*Mother/Guardian1 Last Name:


Mother/Guardian1 Suffix:




If the Mother/Guardian1's physical address is different than the applicant's, please enter it in the fields below.


*Street Address:


*City:


*County:


*State:


*Zip:


Mother/Guardian1 Mailing Address


*PO Box or Street Address:


*City:


*State:


*Zip:


*Employer:


*Is mother's place of employment located on federal land?

Space

Yes
No

*Home Phone(xxx-xxx-xxxx):


*Work Phone:


*Cell Phone:


*Does mother have internet access?

Space



**Email Address:




*Father/Guardian2 First Name:


Father/Guardian2 Middle Name:


*Father/Guardian2 Last Name:


Father/Guardian2 Suffix:




If the Father/Guardian2's physical address is different than the applicant's, please enter it in the fields below.


*Street Address:


*City:


*County:


*State:


*Zip:


Father/Guardian2 Mailing Address




*PO Box or Street Address:


*City:


*State:


*Zip:


*Employer:


*Is father's place of employment located on federal land?

Space

Yes
No

*Home Phone(xxx-xxx-xxxx):


*Work Phone:


*Cell Phone:


*Does father have internet access?

Space



**Email Address:


*

Denotes a required field. If there is a field that does not apply or you would prefer to leave blank, enter "N/A" or "NA."

**

Denotes a field required by your answer to the previous question.


Please note that Kindergarten registrations require a birth certificate, immunization records and a completed physician's form. The required form is available from the school office. There will be a Kindergarten screening scheduled during the first few days of the school year.


*Please scroll up and review your form before submitting it. Browser auto-fill options have been known to change input in some of the fields.


Privacy Policy: Any information gathered by this process is protected by FERPA and will not be shared with anyone.



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