Cove Admission Application

1Student Information > 2Required Testing > 3Family Information > 4Records/Registrar > 5Payment
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Student Information
Student Name Student Name First Last
Student Nickname
Student Date of Birth Student Date of Birth / MM / DD YYYY
Race/Ethnicity (Optional)
Gender

Gender Male Female Other
Address Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Home Phone Number Home Phone Number - ### - ### ####
Cell Phone Number Cell Phone Number - ### - ### ####
Email
Relationship of guardian or parent to applicant (check all that apply)

Relationship of guardian or parent to applicant (check all that apply) Father Mother Stepfather Stepmother Other, Relationship Other, Relationship Father is deceased Mother is deceased Parents are separated Parents are divorced Other
If selected Other, please explain
Mailing Address (if different from above) Mailing Address (if different from above)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
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