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Thank you for your interest in Meridian Academy!

A member of our staff will contact you soon. If you need immediate answers or information, please get in touch with Rebecca Marquina, Education Specialist, at myinfo@mymeridianacademy.com or 713-977-0588 x 4.


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Parent / Guardian Information
  • First Parent / Guardian
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone *
    (Ex: 999-999-9999)
  • Second Parent / Guardian
    (leave blank if not applicable)
  • First Name *
  • Middle Name
  • Last Name *
  • Salutation *
  • Email Address *
  • Confirm Email Address *
  • Work Phone
    (Ex: 999-999-9999)
  • Cell Phone *
    (Ex: 999-999-9999)
Home Address
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  • City
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  • State
  • Zip
  • Home Phone
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  • How Did You Hear About Us? *
    Details:
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  • Student 1
  • First Name *
    Middle Name
    Last Name *
  • Birthdate
    (mm/dd/yyyy)
    Gender
  • Email Address
    Confirm Email Address
  • Grade Level of Interest *
    School Year *
  • Current School
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  • Is There Another Student?
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  • Parent / Guardian Notes
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