ACADEMY OF WARREN
13943 E. 8 Mile Road * Warren, MI 48089 * Phone: 586-552-8010 * Fax: 586-552-4749
web: academyofwarren.net
                      Mr. Justin Hauser, Director of Student Development          Mr. Oronde Kearney, Chief Academic Officer
RE-ENROLLMENT FORM 2019-2020 SCHOOL YEAR
*Please complete only if your child was an active student on 6/15/2019. Only one form per student, please.
 
Yes! I would like for my child to return to the Academy in the Fall of 2019.
 
Student lives with: *
 
I understand that completing this form does not guarantee my child's acceptance into Academy of Warren for the Fall of 2019. I further understand that my application will be processed in the order received and that all openings are filled on a first-come, first-served basis. 
Parent/Guardian Signature (use mouse or finger with trackpads and touchscreens) *
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