Scholar’s Data Update – Jethro Model Academy

Scholars Record Update Form

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Step 1 of 2

Father's Full Name

First

Last

Mother's Full Name

First

Last

Address

Address Line 1

City

State / Province / Region

Country

Confirm Email

This email will be used to receive Login Credentials to the Student/Parent Portal

Phone

For Multiple Child Entry Please Fill each Child's Data Below.

Layout

Child 1 Full Name

First

Last

Child's Class

Please select the Child's Class

Date of Birth

Choose Child's Date of Birth

Child 2 Full Name

First

Last

Child's Class

Please select the Child's Class

Date of Birth

Choose Child's Date of Birth

Child 3 Full Name

First

Last

Child's Class

Please select the Child's Class

Date of Birth

Choose Child's Date of Birth

Child 4 Full Name

First

Last

Child's Class

Please select the Child's Class

Date of Birth

Choose Child's Date of Birth

Child 5 Full Name

First

Last

Child's Class

Please select the Child's Class

Date of Birth

Choose Child's Date of Birth

Child 6 Full Name

First

Last

Child's Class

Please select the Child's Class

Date of Birth

Choose Child's Date of Birth