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Please choose which half you are applying for:
FirstHalf
SecondHalf

Name

Date of Birth

Current School

Current Grade

Home Address

City, State, Zip

Home Telephone

Father's Name

Father's Occupation

Father's Email

Father's Cell

Mother's Name

Mother's Occupation

Mother's Email

Mother's Cell

Please list girls you are applying with if applicable

Where was girl in Summer 2021?

Please provide 2 references: (Must be a principal or teacher)

Reference 1:

Name

Relationship to girl

Phone

Reference 2

Name

Relationship to girl

Phone

In order to obtain confirmation that we received your application please provide us with your email address.

Confirmation Email

I am hereby enrolling my child at Chavaya for the upcoming season. I am authorizing a deposit of $1000 which which will go towards tuition of $4,195 or refunded if applicant is not accepted. The application will be processed only upon receipt of a $875 deposit. I understand that this application is subject to approval and availability. All checks should be made payable to Chavaya and mailed to: Chavaya, 917 Painted Post Road, Baltimore MD 21208.

Parent's Signature

Date

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