• Application

    2021-2022 School Year
  • Student Information

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  • Parent/Guardian Information #1

  • Parent/Guardian Information #2

  • Emergency Contacts and Authorization Pick-up

    • Emergency Contact 1  
    • Emergency Contact 2  
    • Emergency Contact 3  
  • Medical Information

  • Please list any medical issues your child may have, such allergies, existing illness,
    previous serious illness, hospitalization, injuries during the past 12 months, any
    medication prescribed for long-term continuous use, and any other information of which the staff should be aware. Children with chronic illnesses such as severe allergies or asthma, or those children with special circumstances, must have an individualized health care action plan on file from the child’s medical provider. Food allergy information will be shared with parents who provide classroom snacks so snacks containing those foods or ingredients will not be served in class. All allergies listed must have an action plan on file. If your child does not have any medical conditions or allergies, please indicate "None."

  • Health Insurance

  • My signature below confirms that the information in this enrollment packet is
    accurate, complete and honestly presented. I understand that providing any false
    information may result in my child’s enrollment or re-enrollment.

  • Clear
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  • Enrollment Application is complete when Allegiance Academy has received:
    Student Records
    Standardized Test Scores or Norm-referenced scores
    Transcripts
    Parent Questionnaire
    Student Essays
    Health Records
    Supporting Documentation

  • Should be Empty: