Application Date *

MM

DD

YYYY

Student's Name *

First Name

Last Name

With which guardian does the student primarly live? *

Both parents

Father

Mother

Legal Guardian

Primary Guardians' Name(s) *

First Name

Last Name

Primary Guardians' Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Primary Guardians' Phone *

(###)

###

####

The Island Academy of Hilton Head is a learning community, relying on the collaboration and efforts of students, teachers, and parents. We encourage families to participate in ways that are realistic and comfortable. Please indicate which of the following might be a good fit for your support. *

Fundraising

Public Relations

Finance

Grant Writing

Facilities Support

Events Organizing

Technology

Field Trips

Friday Activities

Cooking and Culinary

Other