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St. Martin's Lutheran School of Annapolis is Currently Enrolling Students for the 2024-2025 School Year

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Application for Admission for PreK-3/4

STUDENT INFORMATION

Academic Year

UPLOAD PHOTO OF CHILD HERE

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Pre-K Option:

Pre-K3 | 5 Days | 8:30am - 12pm

Pre-K4 | 5 Days | 8:30am - 12pm

Student First Name

Last Name

Middle Name

Home Address (street, city, state, zip)

Date of Birth

Gender

M

F

Present School

Teacher

Present School Address

Other Schools Attended

Grade(s)

Has your child ever repeated a grade(s)?

Yes

No

If yes, please provide dates and description of corriculum:

Has your child ever been suspended or expelled from school?

Yes

No

If yes, please explain, including grade(s)

Has your child been home schooled?

Yes

No

If yes, please provide dates and description of curriculum:

Has your child ever been tested for or diagnosed with a learning disability?

Yes

No

If yes, please include IEP, Psychological Report, 504 plans or Physician’s Report as applicable.

Any concerns to share? Please indicate:

Interests, hobbies, extracurricular activities:

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name:

Relationship

Home Address (street, city, state, zip)

Home Phone

Email

Cell Phone

Employer

Other Phone

Occupation

Parent/Guardian Name:

Relationship

Home Address (street, city, state, zip)

Home Phone

Cell Phone

Other Phone

Email

Employer

Occupation

Student resides with:

Both Parents

Mother Only

Father Only

Guardian

Other

SIBLING INFORMATION

Sibling Name

Current Grade

Age

Current School

OTHER INFORMATION

Are you a member of St. Martin’s Lutheran Church?

Yes

No

Are you a member of another local Lutheran Church?

Yes

No

How did you learn about St. Martin’s?

Friends Name

A non-refundable Application fee must accompany this form. Please make your check payable to St. Martin’s School or make an electronic payment here:

The Fees are as follows:

Pre-K: $35.00 Grades K-8th: $100.00

I (we) certify that I (we) have answered all questions honestly and completely. I (we) have not withheld any information from, nor misled the Director of Admissions.

Signature of Parent of Guardian

Signature of Parent of Guardian

Select a date

Select a date

Saint Martin's Lutheran School of Annapolis

1120 Spa Road Annapolis, MD 21403

(410) 269-1955

schooloffice@stmartinsonline.org

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