Coastal Empire Montessori Charter School

Online Application

Please carefully select the SCHOOL YEAR and GRADE LEVEL for which you are applying.

Applicant Information
SCHOOL YEAR
*Child's First Name
Child's Middle Name
*Child's Last Name
Child's Prefered Name
*Date of Birth (mm/dd/yyyy)	/ /
*Street Address
Apartment #
*City
*State
*Zip

Parent or Guardian Contact Information
First Parent or Guardian Information
*Parent or Guardian Relation
*Parent or Guardian First Name
*Parent or Guardian Last Name
Parent or Guardian Work Phone
*Parent or Guardian Home Phone
Parent or Guardian Cell Phone
*Parent or Guardian Email
Second Guardian Information
Parent or Guardian Relation
Parent or Guardian First Name
Parent or Guardian Last Name
Parent or Guardian Work Phone
Parent or Guardian Home Phone
Parent or Guardian Home Phone
Parent or Guardian Email

Mailing Information
Mail Street Address
Mail Apartment
Mail City
Mail State
Mail ZIP

Applicant Information
*Applying to GRADE LEVEL	Select the grade the student will be entering for the year for which you are applying.
* If your child will be: - 5 years old by September 1, 2024, select "K" and - 4 years old by September 1, 2024, select "PK4." If your child is younger that this, please apply to our program next year!
Does the applicant already have a sibling in the program?	yes
Chatham County Resident?	yes no
Any comments or notes
Captcha. Enter the number "3" in the box.

Student selection will be done by random lottery. Submission may take several seconds, please be patient.
I verify that all the information provided on this form is correct.