Enrollment Form

Enrollment Form
Parent's Name

First NameLast Name
Parent's Email
example@example.com
Student's Name*

First NameLast Name
Student's Nickname
MaleFemale
Grade*
Birthdate*

MonthDayYear
Date
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (If different from above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
African American/BlackAsianHispanicNative American/AlaskanNative Hawaiian or Pacific IslanderWhite
YesNo
EnglishSpanishFrenchCreoleOther
Birthplace*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
WalkBusCarCarpoolOther
Both ParentsStep ParentMother OnlyFather OnlyFoster CareGrand ParentGuardianOther
Surrogate ParentsLegal GuardianGuardian Ad LitemOther
YesNo
If Yes, please describe
YesNo
YesNo
Mother's Name on Birth Certificate*

First NameLast Name
Father's Name on Birth Certificate*

First NameLast Name
Brothers/Sisters Attending School
First Name Last Name Grade Student ID School Name
Brothers/Sisters Attending School
First Name Last Name Grade Student ID School Name
Brothers/Sisters Attending School
First Name Last Name Grade Student ID School Name
Brothers/Sisters Attending School
First Name Last Name Grade Student ID School Name
YesNo
YesNo
YesNo
Sharing the housing of others due to loss of housing or economic hardship.Living in a motel or hotel due to loss of housing or economic hardship.Staying in a shelterSubstandard housing; without electricity, running water, health code violations, etc.Sleeping in a car, campground, park or public space.
YesNo
Has child repeated any grades? If yes, which grades?
Has student ever attended a Florida school?
Grade Student ID School Name
Give the name, complete address of the last school attended.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Give the Phone Number of the last school attended.

Area CodePhone Number
YesNo
Years in school, including kindergarten prior to current year.*
YesNo
Student's Birth Certificate

Browse Files

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Parent's Driver's License/ID

Browse Files

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Physical Form

Browse Files

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Immunization Forms

Browse Files

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Proof of Residency

Browse Files
2 forms Lease, Bank Statement, Vehicle Registration, etc. Cancelof
Withdrawal/Transfer Form

Browse Files

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Prior School Records

Browse Files

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Signature

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Non-Refundable Enrollment Fee Deposit. *

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Payment Methods

Debit or Credit Card

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