Student Application Form

"*" indicates required fields

Type of Enrollment*

(New student, returning, etc)

Child's Name*

First Last

Child's Birth Date*

Child's Gender*

Child’s Nickname

As you would like to appear on class lists, name tags, etc.

Primary Address for Child*

Street Address City State ZIP Code

How did you hear about Triangle?*

Other

Please let us know so we can thank them.

Parent /Guardian 1 Name*

First Last

Parent/Guardian 1 Contact Number*

Parent/Guardian 1 Email*

A receipt of this application form will be sent to this email address.

Parent/Guardian 1 Primary Address

Parent/Guardian 1 Address

Street Address City State ZIP Code

Parent/Guardian 2 Name (optional)

First Last

Parent/Guardian 2 Contact Number

Parent/Guardian 2 Primary Address

Parent/Guardian 2 Address

Street Address City State ZIP Code

Names and birth dates of any other children in the family

Name

Birthday