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Student Information

Name*

FirstLast

Address*

Street AddressAddress Line 2CityState / Province / RegionZip / Postal Code

Current Grade Level*

Select the range of the grade level in which your student is currently enrolled.

Are you interested in open enrollment?*

Students living in a district other than Independence Community School District (ICSD) that are interested in attending ICSD would be considered open enrolled students.

Please list any sports/fine arts/academic interest areas:

Do you have more than one student who may enroll in our district?*

Yes
No

Select all applicable grade levels:

Hold the Ctrl key to select more than one option.

Parent/Guardian Information

Name*

FirstLast

Home Phone*

Mobile Phone

Email

Visit Information

Information Sessions/Campus Tours are available at 9:00am and 1:00pm Monday - Friday and at 9:00am on Saturdays during the academic year.

Requested Tour Date*

Requested Tour Time*

: HH

MM

Number of People Attending Tour*

Please enter a value between 1 and 50.

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Student Information

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