New Student Referral Form

We are looking to enroll incredible students for the 2023-2024 school year. Please use this form to fill out any information for a students you are helping to enroll at our school. Once the child has been fully enrolled we will reach out to you.

Your Name

First Name

Last Name

Your Email

Your Phone Number

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Name of student you are referring to enroll at EastSide

Grade of student you are referring

Any additional information you would like to share

Additional Student Information (Select all that Apply)

Student Resides in REACH Riverside parameters

Student will be enrolled in APEX

Student is applying to Main Campus