The Archer School for Girls

Thank you for your interest in The Archer School for Girls.

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STUDENT INFORMATION

Student Name

First

Middle

Last

Preferred Name

Birth Date

mm/dd/yyyy

Current Grade

Interested in Grade

For Fall of

Current School

Should the school not be in the drop down menu, please choose "Other" to enter school name.

Please Specify

PRIMARY HOUSEHOLD INFORMATION

The primary household is where the student spends the most time. Please enter information for parents/legal guardians living in one household below. Additional households and parents can be added at the bottom of this form.

Primary Home Address

First Parent/Guardian

Relationship to student

Name

Title

First

Last

Lives with student

Yes No

e.g. (555) 555-5555

Phone

Type

Number

Email

Second Parent/Guardian

Is there a second parent/legal guardian in this household?

Yes No

IMPORTANT NOTE: Please select "Yes" only if this individual lives at the "Primary Household" address.

Relationship to student

Name

Title

First

Last

e.g. (555) 555-5555

Phone

Type

Number

Email

ADDITIONAL HOUSEHOLDS

Does student have a parent/legal guardian living at a different address from "Primary Household"?

Yes No

Please complete this section if student has a parent/legal guardian living at a different address from the "Primary Household."

Additional Home Address

Additional Household: First Parent/Guardian

Relationship to student

Name

Title

First

Last

Phone

Type

Number

Email

Is there another parent/legal guardian in this household?

Yes No

Additional Household: Second Parent/Guardian

Name

Title

First

Last

Relationship to student

Phone

Type

Number

Email

HOW DID YOU HEAR ABOUT ARCHER?

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Should you have any questions, please contact the Admissions Office at (310) 873-7037 or admissions@archer.org.