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As salamu alaykum!

Thank you for your interest in Legacy International Online High School.

Please fill out the form below and our Admissions Office will be contact with you soon inshaAllah.

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Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Last Name *
  • Salutation
  • Email Address *
  • Confirm Email Address *
  • Gender
  • Cell Phone
Home Address
  • Street Address
  • City
  • Country
  • State
  • Zip
  • How Did You Hear About Legacy? *
    Details:

  • Are there any specific questions that you have for our Admissions Office?
    *

  • Have you attended a Legacy Open House?
    * Yes   No
  •  
  • Student 1
  • First Name *
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Gender *
  • Grade Level of Interest *
    School Year *

  • Current School
    *

  • Current School Type
    *
  •  
  • Is There Another Student?
    Yes No
  •