Gateway Academy

Welcome to Gateway Academy where challenges are seen as learning opportunities, and students are accepted and celebrated for their differences!

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Experience Gateway Academy

About the Student

Name

First

Middle

Last

Suffix

Preferred Name

Gender

Date of Birth

mm/dd/yyyy

Current Grade

Interested in Grade

For the Fall of

Current School

About the Parent/Guardian

Name

Title

First

Middle

Last

Suffix

Preferred Name

Relationship to Student

Primary Phone (xxx-xxx-xxxx)

Type

Number

Secondary Phone (xxx-xxx-xxxx)

Type

Number

Email

Mailing Address

Broadening Horizons

Student Interest(s)

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