Enrollment Application 2023-2024
Take a few moments to tell us more about your student/s and why you chose a classical Christian approach to education. Please send any additional questions to Katie Meeks at katie@hlsphoenixvalley.org. Thank you!
Student(s) Applying for Enrollment
Name
*
First Name
Last Name
Age
*
Gender
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Grade Level:
*
(at the start of the 2023-24 school year)
School Last Attended
*
Would you agree to a student grade placement assessment?
*
Yes
No
Maybe
Not sure
List additional students to be enrolled:
along with age, grade, DOB, and any other schools attended (if applicable).
Family Information
Mother's Name:
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Occupation
Mother's highest degree and area of education:
Father's Name:
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
*
example@example.com
Occupation
Father's highest degree and area of education:
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person
*
First Name
Last Name
Emergency Phone Number
*
Please enter a valid phone number.
Marital Status:
*
Married
Divorced or separated
Widowed
Other
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Children in Household:
Church Affiliation:
*
What led you to apply at HLS Phoenix Valley?
Additional Information
Describe each applicants education history (schools attended, co/ops, curriculum used, classes, etc.)
*
Describe each applicants extracurricular interests and/or achievements:
*
Does the applicant/s have an IEP? If so, what is it for?
*
Has the applicant/s received a 504 Plan? If so, please provide a summary.
*
Has the applicant/s received a diagnosis for any learning issues and/or challenges?
*
If the student has any allergies, please list them below:
*
Does the student currently take any medications? If yes, please list them in the box below:
*
Does the student have any medical conditions that you would like to declare?
*
Enrollment Fee
prev
next
( X )
Enrollment Fee
Enrollment fee is $150 per child or a max of three per family. Enrollment secures the student’s spot, covers Highlands Latin School licensing fee, and supports teacher training. It is not refundable.
$
150.00
Quantity
0
1
2
3
Item subtotal:
$
0.00
Signature
Parent/Guardian Signature
*
Clear
Date Signed
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: