Application for Enrollment

First Name

Middle

Last Name

Primary Home Address

City

Zip

Parent/Guardian 1

Last Name

Parent/Guardian 1 Email Address

Parent/Guardian 1 Phone Number

Parent/Guardian 2

Last Name

Parent/Guardian 2 Email Address

Parent/Guardian 2 Phone Number

Due to sibling enrollment preference required by Minn. Stat. 124.E11, Rochester Beacon Academy (RBA) asks that you identify siblings who are concurrently applying for admission at RBA or are currently enrolled at RBA. Does the applicant have siblings currently ATTENDING RBA?

Parent/Guardian Digital Signature

974 Skyline Drive SW

507.258.5351

Email

APPLICATION FOR ENROLLMENT

Quicklinks

Contact info