East End Community School

PORTLAND PUBLIC SCHOOLS

 

 


ENROLLMENT APPLICATION

 

Parent(s) Name:

     

Street Address:

     

Zip Code:

     

Telephone:

     

E-Mail:

     

 

 

Child’s Name:

     

Date of Birth:

     

Current Grade

     

Currently attending which Portland school?

     

 

Will other siblings be registering to attend East End Community School?

 

YES

 

NO

 

Please list sibling info below.

 

Sibling’s name:

     

Date of Birth

     

Current Grade:

     

 

Sibling’s name:

     

Date of Birth

     

Current Grade:

     

 

 

IMPORTANT:  Deadline for applications is February 28, 2006.

 

Mail to:                                 

Carol Dayn, Principal

Adams School

48 Moody Street

Portland, ME 04101

 

OR      E-mail to:      daync@portlandschools.org

 

 

Please note:  If there are more requests for enrollment than there are spaces available, a lottery process will be used for selection.