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23-24 New Student Form

Bingham Academy double dragon logo

New Student Form

2023-2024 School Year

Student Information

Student's First Name*

Answer Required

Student's Middle Name

Answer Required

Student's Last Name*

Answer Required

Student's Mobile Phone

Number Required

Student's Date of Birth*

Answer Required

Last school attended*

Answer Required

Parent / Legal Guardian Contact Information

First Name

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Last Name

Answer Required

Email 1

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Mobile Phone

Number Required

Home Phone

Number Required

Work Phone

Number Required

We accept all students regardless of their race, color, national or ethnic origin, religion, gender, social status or special needs. See Idaho State Statutes: 33-201 and 33-5206 for additional information.

Special Education and 504 Services: Bingham Academy (District 485) offers, free of charge, special education and 504 services to those students who meet federal and state requirements. All information regarding a student’s ability level is confidential and protected through Family Educational Rights and Privacy Act (FERPA). If you have questions about the programs and referral process, please contact the school office or refer to the Procedural Safeguards Notice document.

Call (208) 557-4003 to schedule a tour. Visit us on Facebook or email the school ([email protected]) for more information.

Confirmation Email

Confirmation Email *

Email Required