New Scholar Registration
Please fill the information below to register for Scholarts Public Community Schools. If you have any questions
about this form, please contact us at info@scholarts.org or call us at 614.519.5759
 
Name:  
Email Address:  
Child's Name: (Last, Middle, First)  
Male:  
Female:  
Race: (optional)  
Last grade completed in June 2009  
School Attended in June 2009:  
- School's City or County
 
- School's State
 
Entering grade in August of 2009:  
Previous Columbus School Attended:  
Birth Place (City):  
Birth Date (Month/Day/Year):  
Present Street Address:  

- Zip Code:

  
Phone:  
Resides with:   Father
  Mother
  Stepmother
  Stepfather
  Other
If other then parent, give name:  

- Relationship:

  
Brothers:  
Sisters:  
Mother/Guardian Name:
Occupation:
Employer:
Address:
Phone:
 
Father/Guardian Name:
Occupation:
Employer:
Address:
Phone:
Particular health conditions of the child to consider:  
In case of Emergency Contact (Should be other than parent):
Name: Relationship: Address: Phone:
Name: Relationship: Address: Phone:
 
 
"Every Child A Scholar...Every Child A Star"