Middle Kingdom Page School Enrollment Form

Student Mundane Name _________________________________________________    

Student SCA Name (optional) ____________________________________________   

Parent(s) Mundane Name(s) ______________________________________________

Parent SCA Name ______________________________________________________

Street Address _________________________________________________________    

City, State Zip _________________________________________________________

Parent Phone Number ___________________________________________________   

Parent Email Address ___________________________________________________

Local SCA Group ______________________________________________________

Student Birthdate_______________________________________________________    

Date of enrollment _____________________________________________________

Has this student been involved in other Page Schools or Guilds? _________________

If so, please specify (both type and location)

_____________________________________________________________________

Level attained in previous Page School/Guild ________________________________


Tell us about the Page (interests, previous or current projects, experiences):


 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Please list any questions/suggestions/comments/concerns below:
 
 
 
 
 
 
 
 
 
 
 
 
 
 

Date received by Page School Staff: ___________________

Date confirmation of enrollment sent: __________________