Is this child(ren) a sibling of a current GMA student?*

Yes  No 

How many children are you interested in enrolling at GMA?*

1  2 or more 

For the academic year*

2018-2019  2019-2020  2020-2021  Unsure at this time 

Student 1 applicant name (first, middle, last)*

Requesting application for admission to grade:*

Kindergarten  1st  2nd  3rd  4th  5th  6th  7th  8th 

Gender*

Male  Female 

Date of birth (Kindergarten students must be 5 by September 15th of enrollment year)*

Second and third students applicant names (first, middle, last)

Requesting application for admission to grades:

Kindergarten  1st  2nd  3rd  4th  5th  6th  7th  8th 

Dates of birth for 2nd and/or 3rd applicants (Kindergarten students must be 5 by September 15th of enrollment year)

Home Address Line 1*

Home Address Line 2

City*

State*

Zip Code*

Home Phone Number*

Applicant's current school*

School District*

Religion*

Parish

Family Information - applicant currently lives with (select all that apply):*

Father  Mother  Stepfather  Stepmother  Other 

Please specify "Other" if checked above.

Check any that may apply:

Father is deceased  Mother is deceased  Parents are separated  Parents are divorced  Father has custody  Mother has custody  Joint custody 

Email address

Father's name

Father's full address (if different than student's)

Father's home phone number

Father's cell phone number

Father's religion

Employer Name

Position or Title

Mother's name

Mother's full address (if different than student's)

Mother's home phone number

Mother's cell phone number

Mother's religion

Employer name

Position or Title

Name of 1st sibling not enrolling in GMA at this time

Age of 1st sibling not enrolling at GMA at this time

Name of 2nd sibling not enrolling at GMA at this time

Age of 2nd sibling not enrolling at GMA at this time

Has anyone in your family attended Gwynedd-Mercy Academy Elementary? If so, what are their names and relationships to your child?

How did you hear about GMA?

Family currently attends  Family member is an alumni  Word of mouth  Advertisement 

What form of GMA advertisement did you see (check as many as apply)?

Lawn sign  Digital billboard  Open House postcard  Digital ad on Facebook or Google 

Please make your application/assessment fee payment for new families below:*

Application/assessment fee for current GMA Family ($0.00)  Application/assessment fee for new family enrolling one student ($75.00)  Application/assessment fee for new family enrolling 2 or more students ($125.00) 

Please send a confirmation email to the address below*: