Application for the 2017-2018 School Year


Nahunta Hall will not discriminate on the basis of race, creed, color, gender, gender expression, sexual orientation, disability, religion, ethnicity, national origin, or ancestry.

* Required Fields

Student Information

Child's Name*
Please enter the child's full legal name as shown on their birth certificate.

Child's Birthdate*

Parent Information
If both parents have joint legal custody, information for both parents must be included. If only one individual has sole legal custody, please indicate.


Line 1 (Street Address)



















Educational Background and Goals



Signature


By my digital signature below, I certify that the information in this application is correct to the best of my knowledge and is given for the purpose of obtaining admission to Nahunta Hall.

(Utah Code Annotated §46-4-201: Legal recognition of electronic records, electronic signatures, and electronic contracts)

Submission of this form does not guarantee enrollment at Nahunta Hall.