Admission Form

Full Name *

Name Last Name Mother's Last Name

Date *

- Month - Day Year

Grade *

Physical Address *

Mailing Address *

Home Phone *

- Area Code Phone Number

Previous School *

Birth Date *

- Month - Day Year

Birth Place *

Religion *

Parents Marital Status *

Father's Name *

First Name Last Name

Telephone (Father) *

- Area Code Phone Number

E-mail (Father) *

Occupation (Father) *

Mother's Name *

First Name Last Name

Telephone (Mother) *

- Area Code Phone Number

E-mail (Mother) *

Occupation (Mother) *

Alumnae Mother and/or Sister? (include Name, Relationship and Graduation Year)

Name and Grade of sister(s) who are currently registered in Academia María Reina:

Required Documents: